Organization
HANOVER PHARMACY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETAN PATEL PHARM.D. (PRESIDENT)
(708) 831-5910
Entity
Organization
Contact information
Practice address
1802 IRVING PARK RD, SUITE 201, HANOVER PARK, IL 60133-3254
(708) 831-5910
(708) 831-5912
Mailing address
6201 W TOUHY AVE, SUITE 101, CHICAGO, IL 60646-1100
(708) 831-5910
(708) 831-5912
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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