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General NPI Number Information
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NPI Number | 1356102867
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Entity Type | Organization
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Legal Business Name | CIMPAR PHARMACY LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 1837 RIVER OAKS DR
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City | CALUMET CITY
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State | IL
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Zip | 60409
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Country | US
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Telephone | 708-801-9626
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Fax | 708-801-9132
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Provider Business Mailing Address
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Address Line | 101 MADISON ST SUITE 300
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City | OAK PARK
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State | IL
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Zip | 60302
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Country | US
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Telephone | 847-423-5593
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Fax | 708-801-9132
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Authorized Official
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Title or Position | CHIEF FINANCIAL & OPERATING OFFICER
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Name | DAN ROMAN
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Credential |
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Telephone | 773-415-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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