# BIENESTAR PHARMACY II INC

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

## Provider details

- **NPI number:** 1972928166
- **Authorized official:** MR. AKIL GHOGHAWALA (MANAGER)
- **Authorized official phone:** (708) 956-7786

## Contact information

- **Practice address:** 6447 CERMAK RD, BERWYN, IL 60402-2311
- **Practice address phone:** (708) 956-7786
- **Mailing address:** 6447 CERMAK RD, BERWYN, IL 60402-2311
- **Mailing address phone:** (708) 956-7786

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2014
- **Last updated:** 08/31/2016
