Organization
PEE DEE KAY INC
Active
Other names
CHICAGO KEDZIE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RONAK MANER RPH (PHARMACIST)
(773) 486-2684
Entity
Organization
Contact information
Practice address
4054 W NORTH AVE, CHICAGO, IL 60639-5223
(773) 486-2684
(773) 486-2742
Mailing address
4054 W NORTH AVE, CHICAGO, IL 60639-5223
(773) 486-2684
(773) 486-2742
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54013902
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024710
PK
—
Enumeration date
06/21/2006
Last updated
03/19/2014
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