# GANESH PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ganesh Pharmacy, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912229220
- **Authorized official:** ARUN PATEL (PHARACIST-IN-CHARGE)
- **Authorized official phone:** (224) 558-3511

## Contact information

- **Practice address:** 327 W 76TH ST, CHICAGO, IL 60620-1604
- **Practice address phone:** (773) 783-2865
- **Practice address fax:** (773) 783-0346
- **Mailing address:** 327 W 76TH ST, CHICAGO, IL 60620-1604
- **Mailing address phone:** (773) 783-2865
- **Mailing address fax:** (773) 783-0346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054017136 | IL | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 04/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2124005 | PK | — |