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111th Pharma - Family — NPI 1255415386, Chicago, IL | NPI Central

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OrganizationActive

111th Pharma - Family

NPI 1255415386 · Community/Retail Pharmacy · Chicago, IL

Provider details

NPI number: 1255415386
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Adele Vanjackson, Pic
License: 054018137 (IL)

Practice location

11101 S State St

Chicago, IL 60628-4206

Phone: (773) 785-5192

Fax: (773) 821-6970

More IL providers

Mailing address

11101 S State St

Chicago, IL 60628-4206

Registry dates

Enumerated: 2006-10-25
Last updated: 2013-08-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.