Organization
AMBIKA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILESH J SHAH RPH (OWNER PRESIDENT)
(773) 264-1111
Entity
Organization
Contact information
Practice address
11309 S MICHIGAN AVE, CHICAGO, IL 60628-4911
(773) 264-1111
Mailing address
11309 S MICHIGAN AVE, CHICAGO, IL 60628-4911
(773) 264-1111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448009
NABP #
—
Enumeration date
09/27/2005
Last updated
05/12/2008
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