<Unavail>

LBN: Tinley Park Apothecary Llc
<Unavail> is an health care organization with primary practice located at 17320 Oak Park Ave , Tinley Park IL 60477-3404. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tinley Park Apothecary Llc can be contacted via phone (708) 778-3669, or through Hassad, Omar via phone (708) 778-3669.

Contact Information

Primary practice address
17320 Oak Park Ave Tinley Park IL 60477-3404
Phone: (708) 778-3669
Fax: (708) 778-3229
Website:
Map and Directions
Authorized official contact:
Name: Hassad, Omar
Phone: (708) 778-3669

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054019529 Illinois

Profile Details

NPI number 1003289281
LBN Legal business name Tinley Park Apothecary Llc
DBA Doing business as <Unavail>
Authorized official Hassad, Omar
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Jun 19th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003289281 NPPES
Other 2155126 PK
MEDICAID 100328928100 PK

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