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Organization
CHATHAM PHARMACY INC
Active
Organization
CHATHAM PHARMACY INC
Active
Other names
SAPSTEIN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH SHAH B S PHARMACY (HEAD PHARMACIST)
(773) 874-0425
Entity
Organization
Contact information
Practice address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 874-0425
(773) 874-0464
Mailing address
8419 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 874-0425
(773) 874-0464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.014149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021700
PK
—
Enumeration date
06/11/2006
Last updated
02/28/2017
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