Organization
GARDEN FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH GANDHI (SECRETARY)
(630) 660-1709
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, SUITE E, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 631-3294
Mailing address
11600 S KEDZIE AVE, SUITE E, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 631-3294
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-019477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174647
PK
—
Enumeration date
12/13/2017
Last updated
04/19/2018
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