111th Pharma - Family
111th Pharma - Family is a Community/Retail Pharmacy in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
11101 S State StChicago, IL 60628-4206
Phone: (773) 785-5192
Fax: (773) 821-6970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054018137 (IL) |
|---|
Record details
| NPI number | 1255415386 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adele Vanjackson — Pic · (773) 785-5192 |
| Other names | 111th Pharma Family |
| NPI enumerated | October 25, 2006 |
| Last updated in NPPES | August 27, 2013 |
| Mailing address | 11101 S State St, Chicago, IL 60628-4206 |
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