Organization
RAMESHKUMAR C. PATEL
Active
Other names
A CAALMAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH PATEL (OWNER)
(773) 638-6615
Entity
Organization
Contact information
Practice address
2839 W MADISON ST, CHICAGO, IL 60612-1925
(773) 638-6615
(773) 533-0945
Mailing address
2839 W MADISON ST, CHICAGO, IL 60612-1925
(773) 638-6615
(773) 533-0945
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054011233
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018708
PK
—
05
—
363356438002
—
IL
Enumeration date
07/30/2006
Last updated
04/19/2017
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