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Organization

LITTLE VILLAGE PHARMACY INC

Active
Parent organization
LITTLE VILLAGE PHARMACY INC
Other names
PROPACK PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
LITTLE VILLAGE PHARMACY INC
Authorized official
MITESH D PATEL (PRESIDENT)
(847) 912-3201
Entity
Organization

Contact information

Practice address
3811 W 26TH ST, CHICAGO, IL 60623-3808
(773) 522-2121
Mailing address
3811 W 26TH ST, CHICAGO, IL 60623-3808
(773) 522-2121

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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