Organization
OM RED GANESH INC
Active
Other names
JDISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JATIN J PATEL RPH (OWNER)
(773) 278-5337
Entity
Organization
Contact information
Practice address
2701 W DIVISION ST, CHICAGO, IL 60622-2854
(773) 278-5337
(773) 278-5365
Mailing address
2701 W DIVISION ST, CHICAGO, IL 60622-2854
(773) 278-5337
(773) 278-5365
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0003X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263976548001
—
IL
Enumeration date
03/18/2009
Last updated
05/05/2009
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