# VIVEK PHARMACY, INC.

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

## Provider details

- **NPI number:** 1396813408
- **Authorized official:** BANKIM DESAI (OWNER)
- **Authorized official phone:** (773) 548-3133

## Contact information

- **Practice address:** 300 E PERSHING RD, CHICAGO, IL 60653-2204
- **Practice address phone:** (773) 548-3133
- **Practice address fax:** (773) 913-2335
- **Mailing address:** 300 E PERSHING RD, CHICAGO, IL 60653-2204
- **Mailing address phone:** (773) 548-3133
- **Mailing address fax:** (773) 751-5099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054011268 | IL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 02/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1462908 | NABP NUMBER | IL |