Organization
MEENI PHARMACY INC
Active
Other names
Jackson Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PURVIN TAJPURIA (OWNER)
(773) 947-7700
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7700
(773) 363-6689
Mailing address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7700
(773) 363-6689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054019617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154137
PK
—
Enumeration date
01/24/2007
Last updated
06/06/2016
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