| NPI | 1356786941 |
|---|---|
| Doing Business As | MEXICARE PHARMACY III |
| Entity Type | Organization |
| Authorized Contact | JAWAD H HAMDAN Owner 773-498-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018217) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054018217) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 054018217) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IL 054018217) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IL 054018217) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-11-21 |