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General NPI Number Information
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NPI Number | 1558072751
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Entity Type | Organization
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Legal Business Name | FIVE STAR PHARMACY LLC
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4950 N CUMBERLAND AVE STE 1
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City | NORRIDGE
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State | IL
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Zip | 60706-2902
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Country | US
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Telephone | 708-716-3085
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Fax | 708-716-3096
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Provider Business Mailing Address
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Address Line | 4950 N CUMBERLAND AVE STE 1
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City | NORRIDGE
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State | IL
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Zip | 60706-2902
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Country | US
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Telephone | 708-843-1517
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARIA AL-HADIDI
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Credential | PHARMD
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Telephone | 708-716-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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