Organization
SHREE PHARMACY INC
Active
Other names
SHREE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN KUMAR CHENNA (SECRETARY)
(551) 998-2115
Entity
Organization
Contact information
Practice address
1624 W MONTROSE AVE STE A, CHICAGO, IL 60613-1214
(773) 907-0407
(773) 907-0560
Mailing address
1624 W MONTROSE AVE STE A, CHICAGO, IL 60613-1214
(773) 907-0407
(773) 907-0560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021159
PK
—
Enumeration date
07/30/2006
Last updated
12/02/2024
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