# HOME MEDICAL SUPPLIES AND PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124270228
- **Authorized official:** JIGNESH GANDHI (PRESIDENT)
- **Authorized official phone:** (630) 660-1709

## Contact information

- **Practice address:** 711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
- **Practice address phone:** (847) 292-9984
- **Practice address fax:** (847) 292-9986
- **Mailing address:** 711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
- **Mailing address phone:** (847) 292-9984
- **Mailing address fax:** (847) 292-9986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-16537 | IL | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1482568 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |