Organization
GABRIEL DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK SHAN RPH (PRES)
(723) 277-2187
Entity
Organization
Contact information
Practice address
4304 W 16TH ST, CHICAGO, IL 60623-1041
(773) 277-2187
(773) 277-2170
Mailing address
4304 W 16TH ST, CHICAGO, IL 60623-1041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454456
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
363671718001
—
IL
Enumeration date
11/17/2006
Last updated
09/11/2025
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