# LITTLE VILLAGE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROPACK PHARMACY, LITTLE VILLAGE PHARMACY, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275775330
- **Authorized official:** MITESH D PATEL (PHARMACY MANAGER)
- **Authorized official phone:** (708) 303-5151

## Contact information

- **Practice address:** 3811 W 26TH ST, CHICAGO, IL 60623-3808
- **Practice address phone:** (773) 522-2121
- **Practice address fax:** (773) 522-4040
- **Mailing address:** 3811 W 26TH ST, CHICAGO, IL 60623-3808
- **Mailing address phone:** (773) 522-2121
- **Mailing address fax:** (773) 522-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054016636 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2009
- **Last updated:** 03/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2119668 | PK | — |