Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MAYWOOD COMMUNITY PHARMACY LLC
Active
Organization
MAYWOOD COMMUNITY PHARMACY LLC
Active
Other names
maywood community pharmacy. llc
Organization subpart
No
Provider details
NPI number
Authorized official
JITESH PATEL (PHARMACIST)
(630) 999-5298
Entity
Organization
Contact information
Practice address
1411 S 5TH AVE, MAYWOOD, IL 60153-2128
(708) 345-4658
Mailing address
1411 S 5TH AVE, MAYWOOD, IL 60153-2128
(708) 345-4658
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483851
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2009
Last updated
11/04/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers