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Organization
VGJ PHARMACY
Active
Organization
VGJ PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JATIN VORA (RPH)
(312) 664-2316
Entity
Organization
Contact information
Practice address
1631 N HALSTED ST, CHICAGO, IL 60614-5517
(312) 664-2316
Mailing address
5736 LEE ST, MORTON GROVE, IL 60053-3120
(312) 664-2316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054017420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054017420
PHARMACY LIC
IL
Enumeration date
05/11/2010
Last updated
05/11/2010
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