Organization
VAISHALI PHARMACY INC
Active
Other names
VAISHALI PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
VISHAL PATEL RPH (PRESIDENT)
(773) 521-7422
Entity
Organization
Contact information
Practice address
3147 W CERMAK RD, CHICAGO, IL 60623-3307
(773) 521-7422
(773) 521-6986
Mailing address
1206 RAYMOND TURN, BOURBONNAIS, IL 60914-4799
(773) 521-7422
(773) 521-6986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054013957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019831
PK
—
Enumeration date
07/30/2006
Last updated
12/07/2021
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