Organization
FAMILY FARMACIA INC
Active
Other names
FAMILY FARMACIA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MAHENDRA PATEL RPH (PRESIDENT)
(773) 227-8874
Entity
Organization
Contact information
Practice address
4242 W ARMITAGE AVE, CHICAGO, IL 60639-3647
(773) 227-8874
(773) 227-8284
Mailing address
4242 W ARMITAGE AVE, CHICAGO, IL 60639-3647
(773) 227-8874
(773) 227-8284
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454836
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/17/2007
Last updated
05/04/2010
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