Organization
FOUR STAR RX INC
Active
Other names
ANS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIPAK PATEL PHARMACIST (PRESIDENT)
(732) 421-6533
Entity
Organization
Contact information
Practice address
1835 N BROADWAY AVE, SUITE 101, MELROSE PARK, IL 60160-2040
(732) 421-6533
Mailing address
1835 N BROADWAY AVE, SUITE 101, MELROSE PARK, IL 60160-2040
(732) 421-6533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018207
IL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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