# BERWYN COMMUNITY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376846063
- **Authorized official:** MR. KALPESH PATEL R.PH (CHIEF PHARMACIST)
- **Authorized official phone:** (630) 550-0565

## Contact information

- **Practice address:** 7234 OGDEN AVE, SUITE 1E, RIVERSIDE, IL 60546-2269
- **Practice address phone:** (630) 550-0565
- **Mailing address:** 7234 OGDEN AVE, SUITE 1E, RIVERSIDE, IL 60546-2269
- **Mailing address phone:** (630) 550-0565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-017555 | IL | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 12/17/2010