Organization
GREENLEAF PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG PATEL PHARM D. (PRESIDENT)
(847) 346-9958
Entity
Organization
Contact information
Practice address
401 GREENLEAF ST STE 1, PARK CITY, IL 60085-5744
(847) 242-8267
(847) 242-8235
Mailing address
13535 LUCKY LAKE DR, LAKE FOREST, IL 60045-5127
(847) 346-9958
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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