# EPHRAIM PHARMACY INC.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235666835
- **Authorized official:** GORDON EGBUNA (SECRETARY)
- **Authorized official phone:** (773) 454-3392

## Contact information

- **Practice address:** 2215 W 95TH ST, CHICAGO, IL 60643
- **Practice address phone:** (773) 454-3392
- **Mailing address:** 2215 W 95TH ST, CHICAGO, IL 60643-1001
- **Mailing address phone:** (773) 454-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2017
- **Last updated:** 07/21/2022