Organization
A & D FAMILY MEDICAL CENTER PHARMACY INC
Active
Other names
A AND D FAMILY MEDICAL CENTER PHARMACY INCORPORATED
Organization subpart
No
Provider details
NPI number
Authorized official
KISHORKANT CHIKANI (PRESIDENT)
(773) 826-1719
Entity
Organization
Contact information
Practice address
732 S PULASKI RD, CHICAGO, IL 60624-4058
(773) 826-1719
(773) 533-1622
Mailing address
8352 N NEWLAND AVE, NILES, IL 60714-2642
(773) 826-1719
(773) 533-1622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054008831
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018624
PK
—
Enumeration date
07/30/2006
Last updated
02/16/2017
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