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Organization

PRO PHARMACY INC

Active
Other names
PRO PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
VIJAY DOSHETTY (OWNER/PHARMACIST)
(773) 359-4132
Entity
Organization

Contact information

Practice address
8811 S STONY ISLAND AVE, CHICAGO, IL 60617-2810
(773) 359-4132
(773) 359-4123
Mailing address
8811 S STONY ISLAND AVE, CHICAGO, IL 60617-2810
(773) 359-4132
(773) 359-4123

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
054018191
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2139547
PK
Enumeration date
04/03/2013
Last updated
04/03/2013
About Stedi
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