Organization
SHIV PHARMACY INCORPORATION
Active
Other names
SHIV PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN PATEL (PRESIDENT)
(773) 778-3420
Entity
Organization
Contact information
Practice address
1608 W 69TH ST, CHICAGO, IL 60636-3316
(773) 778-3420
Mailing address
1608 W 69TH ST, CHICAGO, IL 60636-3316
(773) 778-3420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54011132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1460853
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/21/2006
Last updated
01/19/2010
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