# PEE DEE KAY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHICAGO KEDZIE DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639115439
- **Authorized official:** RONAK MANER RPH (PHARMACIST)
- **Authorized official phone:** (773) 486-2684

## Contact information

- **Practice address:** 4054 W NORTH AVE, CHICAGO, IL 60639-5223
- **Practice address phone:** (773) 486-2684
- **Practice address fax:** (773) 486-2742
- **Mailing address:** 4054 W NORTH AVE, CHICAGO, IL 60639-5223
- **Mailing address phone:** (773) 486-2684
- **Mailing address fax:** (773) 486-2742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 54013902 | IL | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 03/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2024710 | PK | — |
