Organization
VIVEK PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANKIM DESAI (OWNER)
(773) 548-3133
Entity
Organization
Contact information
Practice address
300 E PERSHING RD, CHICAGO, IL 60653-2204
(773) 548-3133
(773) 913-2335
Mailing address
300 E PERSHING RD, CHICAGO, IL 60653-2204
(773) 548-3133
(773) 751-5099
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054011268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1462908
NABP NUMBER
IL
Enumeration date
11/30/2006
Last updated
02/24/2020
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