Organization
KHATAU-MANEK LTD
Active
Other names
HOLY FAMILY PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (PRESIDENT, PIC)
(847) 296-1400
Entity
Organization
Contact information
Practice address
1400 E GOLF RD, SUITE 101, DES PLAINES, IL 60016-1236
(847) 296-1400
(847) 296-1431
Mailing address
1400 E GOLF RD, SUITE 101, DES PLAINES, IL 60016-1236
(847) 296-1400
(847) 296-1431
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054014811
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017635
PK
—
05
—
304331300001
—
IL
Enumeration date
06/11/2006
Last updated
05/01/2017
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