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Organization
VALUE VILLAGE PHARMACY
Active
Organization
VALUE VILLAGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OM DHINGRA (PRESIDENT)
(708) 849-3900
Entity
Organization
Contact information
Practice address
618 E SIBLEY BLVD, DOLTON, IL 60419-2599
(708) 849-3900
(708) 849-1930
Mailing address
618 E SIBLEY BLVD, DOLTON, IL 60419-2599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54011255
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455840
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/22/2006
Last updated
04/20/2008
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