Organization
J2SB LLC
Active
Other names
Rana-Reagan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (OWNER)
(847) 610-5169
Entity
Organization
Contact information
Practice address
398 W ARMY TRAIL RD STE 120, BLOOMINGDALE, IL 60108-2398
(847) 610-5169
(847) 610-3166
Mailing address
398 W ARMY TRAIL RD STE 120, BLOOMINGDALE, IL 60108-2398
(847) 610-5169
(847) 610-3166
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
11/13/2024
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