| NPI | 1649501206 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY OF CHICAGO RIDGE |
| Entity Type | Organization |
| Authorized Contact | JAWAD H HAMDAN President/PIC 708-229-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 54-016794) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054-016794) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2020-11-22 |