Organization
HOME MEDICAL SUPPLIES AND PHARMACY
Active
Other names
Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (PRESIDENT)
(630) 660-1709
Entity
Organization
Contact information
Practice address
711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
(847) 292-9984
(847) 292-9986
Mailing address
711 DEVON AVE, 203, PARK RIDGE, IL 60068-4713
(847) 292-9984
(847) 292-9986
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-16537
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482568
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/21/2008
Last updated
10/07/2009
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