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
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