Healthcare Provider Details

I. General information

NPI: 1952766743
Provider Name (Legal Business Name): OMKAR PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 N 19TH AVE SUITE 101
MELROSE PARK IL
60160
US

IV. Provider business mailing address

1835 N 19TH AVE SUITE 101
MELROSE PARK IL
60160
US

V. Phone/Fax

Practice location:
  • Phone: 888-486-8002
  • Fax: 855-788-4780
Mailing address:
  • Phone: 888-486-8002
  • Fax: 855-788-4780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY CUNNINGHAM
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 248-515-4439