Organization
KANKAKEE AREA PHARMACY INC
Active
Other names
Kankakee Area Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NEHAD SALAH (PRESIDENT)
(708) 921-0067
Entity
Organization
Contact information
Practice address
555 W COURT ST, STE 101, KANKAKEE, IL 60901-3664
(815) 937-9200
(815) 937-9201
Mailing address
PO BOX 2142, ORLAND PARK, IL 60462-1085
(708) 921-0067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54016602
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119189
PK
—
Enumeration date
01/14/2009
Last updated
04/25/2017
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