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Organization
PEE DEE KAY INC
Active
Organization
PEE DEE KAY INC
Active
Other names
CHICAGO KEDZIE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RONAK MANER RPH (PHARMACIST)
(773) 486-2684
Entity
Organization
Contact information
Practice address
4054 W NORTH AVE, CHICAGO, IL 60639-5223
(773) 486-2684
(773) 486-2742
Mailing address
4054 W NORTH AVE, CHICAGO, IL 60639-5223
(773) 486-2684
(773) 486-2742
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
54013902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024710
PK
—
Enumeration date
06/21/2006
Last updated
03/19/2014
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