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Organization
MAYWOOD PHARMACY INC
Active
Organization
MAYWOOD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDISH C SHAH (PRESIDENT)
(708) 345-7167
Entity
Organization
Contact information
Practice address
318 W MADISON ST, MAYWOOD, IL 60153-2151
(708) 345-7167
(708) 345-7167
Mailing address
318 W MADISON ST, MAYWOOD, IL 60153-2151
(708) 345-7167
(708) 345-7167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455725
—
IL
Enumeration date
06/11/2006
Last updated
08/22/2020
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