Organization
NOVA PHARMACY LP
Active
Other names
NOVA Pharmacy LP
Organization subpart
No
Provider details
NPI number
Authorized official
FEDJA TEMIM (PHARMACIST IN CHARGE)
(224) 534-0203
Entity
Organization
Contact information
Practice address
8833 GROSS POINT RD STE 311, SKOKIE, IL 60077-1859
(224) 534-0203
(224) 534-0204
Mailing address
8833 GROSS POINT RD STE 311, SKOKIE, IL 60077-1859
(224) 534-0203
(224) 534-0204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.018834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148431
PK
—
Enumeration date
10/20/2014
Last updated
03/29/2016
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