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General NPI Number Information
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NPI Number | 1952766743
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Entity Type | Organization
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Legal Business Name | OMKAR PHARMACY INC.
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 1835 N 19TH AVE SUITE 101
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City | MELROSE PARK
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State | IL
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Zip | 60160
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Country | US
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Telephone | 888-486-8002
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Fax | 855-788-4780
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Provider Business Mailing Address
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Address Line | 1835 N 19TH AVE SUITE 101
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City | MELROSE PARK
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State | IL
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Zip | 60160
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Country | US
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Telephone | 888-486-8002
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Fax | 855-788-4780
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | LINDSAY CUNNINGHAM
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Credential |
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Telephone | 248-515-4439
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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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