# KHATAU-MANEK LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOLY FAMILY PLAZA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548202005
- **Authorized official:** JIGNESH GANDHI (PRESIDENT, PIC)
- **Authorized official phone:** (847) 296-1400

## Contact information

- **Practice address:** 1400 E GOLF RD, SUITE 101, DES PLAINES, IL 60016-1236
- **Practice address phone:** (847) 296-1400
- **Practice address fax:** (847) 296-1431
- **Mailing address:** 1400 E GOLF RD, SUITE 101, DES PLAINES, IL 60016-1236
- **Mailing address phone:** (847) 296-1400
- **Mailing address fax:** (847) 296-1431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054014811 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 05/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2017635 | PK | — |
| 05 | — | 304331300001 | — | IL |