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Organization
KANKAKEE AREA PHARMACY INC
Active
Organization
KANKAKEE AREA PHARMACY INC
Active
Other names
Kankakee Area Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NEHAD SALAH (PRESIDENT)
(708) 921-0067
Entity
Organization
Contact information
Practice address
555 W COURT ST, STE 101, KANKAKEE, IL 60901-3664
(815) 937-9200
(815) 937-9201
Mailing address
PO BOX 2142, ORLAND PARK, IL 60462-1085
(708) 921-0067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
54016602
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119189
PK
—
Enumeration date
01/14/2009
Last updated
04/25/2017
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