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Organization
AMIJAY CORPORATION
Active
Organization
AMIJAY CORPORATION
Active
Other names
LAPUJA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MUKESH PATEL (RPH)
(773) 772-6731
Entity
Organization
Contact information
Practice address
3441 W NORTH AVE, CHICAGO, IL 60647-4841
(773) 772-6731
(773) 772-7860
Mailing address
3441 W NORTH AVE, CHICAGO, IL 60647-4841
(773) 772-6731
(773) 772-7860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054011897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054011897
—
IL
01
—
2019502
PK
—
Enumeration date
08/18/2006
Last updated
02/28/2018
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