Organization
K AND S PHARMACY INC
Active
Other names
K AND S PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
BABULAL BHORANIA RPH (PIC AND PRES)
(773) 585-3356
Entity
Organization
Contact information
Practice address
4017 W 63RD ST, CHICAGO, IL 60629-4605
(773) 585-3356
(773) 585-5746
Mailing address
4017 W 63RD ST, CHICAGO, IL 60629-4605
(773) 585-3356
(773) 585-5746
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54005470
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434618
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2006
Last updated
05/04/2010
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