Organization
SJA PHARMACY, INC
Active
Other names
Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHITAL MANEK PHARM. D (PRESIDENT)
(630) 777-7800
Entity
Organization
Contact information
Practice address
9718 SOUTH HALSTED STREET, CHICAGO, IL 60628-1007
(773) 238-4500
(773) 238-4503
Mailing address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 238-4500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018024
IL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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