| NPI | 1780066456 |
|---|---|
| Doing Business As | TINLEY PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY HADDADIN Owner 312-804-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054.019388) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054.019388) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |