# PYRAMID PHARMACEUTICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PPG Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841477494
- **Authorized official:** GABRIEL NWANDU (PHARMACIST IN CHARGE)
- **Authorized official phone:** (630) 801-1700

## Contact information

- **Practice address:** 1177 N HIGHLAND AVE, SUITE 203, AURORA, IL 60506-2281
- **Practice address phone:** (630) 801-1700
- **Practice address fax:** (630) 801-1777
- **Mailing address:** 1177 N HIGHLAND AVE, SUITE 203, AURORA, IL 60506-2281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016455 | IL | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 03/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1482695 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
