Organization
MAB PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHARAT V PATEL R.PH (PHARMACIST INCHARGE)
(773) 342-5878
Entity
Organization
Contact information
Practice address
2643 W DIVISION ST, CHICAGO, IL 60622-7276
(773) 348-5878
(773) 342-5878
Mailing address
2643 W DIVISION ST, CHICAGO, IL 60622-7276
(773) 348-5878
(773) 342-5878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
054014043
IL
333600000X
Pharmacy
054-014043
IL
Other
Enumeration date
02/22/2007
Last updated
04/26/2011
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