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Organization
HOME MEDICAL SUPPLIES AND PHARMACY
Active
Organization
HOME MEDICAL SUPPLIES AND PHARMACY
Active
Other names
Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (PRESIDENT)
(630) 660-1709
Entity
Organization
Contact information
Practice address
711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
(847) 292-9984
(847) 292-9986
Mailing address
711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
(847) 292-9984
(847) 292-9986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-16537
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482568
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/21/2008
Last updated
10/07/2009
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