Organization
FORTIS PHARMACEUTICALS, LLC
Active
Other names
Fortis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (SECRETARY)
(630) 660-1709
Entity
Organization
Contact information
Practice address
7444 W WILSON AVE, HARWOOD HEIGHTS, IL 60706-4549
(847) 232-7500
(708) 716-3625
Mailing address
7444 W WILSON AVE, HARWOOD HEIGHTS, IL 60706-4549
(847) 232-7500
(708) 716-3625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.018952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150700
PK
—
Enumeration date
03/10/2015
Last updated
03/10/2015
Update your record
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