Organization
HEERA CORPORATION
Active
Other names
DEV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA PATEL RPH (PHARMACIST PIC)
(630) 851-3870
Entity
Organization
Contact information
Practice address
364 N FARNSWORTH AVE, AURORA, IL 60505-3083
(630) 851-3870
(630) 851-0887
Mailing address
364 N FARNSWORTH AVE, AURORA, IL 60505-3083
(630) 851-3870
(630) 851-0887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018206
PK
—
Enumeration date
08/10/2006
Last updated
11/14/2016
About Stedi
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