# JEWEL FOOD STORES INC

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

## Provider details

- **NPI number:** 1811088453
- **Authorized official:** MR. LORENZO TORRES III (NEW STORE ENROLLMENTS)
- **Authorized official phone:** (847) 916-4463

## Contact information

- **Practice address:** 3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
- **Practice address phone:** (847) 916-4463
- **Practice address fax:** (847) 916-4736
- **Mailing address:** 3030 CULLERTON ST, FRANKLIN PARK, IL 60131-2205
- **Mailing address phone:** (847) 916-4463
- **Mailing address fax:** (847) 916-4736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020