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General NPI Number Information
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NPI Number | 1255491551
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL PHARMACY, INC.
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Dates
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Enumeration Date | 12/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6815 W 95TH ST SUITE # 102
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City | OAK LAWN
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State | IL
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Zip | 60453-7000
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Country | US
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Telephone | 708-598-7227
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 954
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City | OAK FOREST
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State | IL
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Zip | 60452-0954
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Country | US
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Telephone | 708-598-7227
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Fax |
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Authorized Official
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Title or Position | PHARMACIST - IN - CHARGE
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Name | MR. NEHAD SALAH
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Credential | RPH
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Telephone | 708-598-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | IL
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