Organization
MAIN PROFESSIONAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INA SHAH (PRESIDENT)
(773) 276-2372
Entity
Organization
Contact information
Practice address
2736 W DIVISION ST, CHICAGO, IL 60622-2853
(773) 276-2372
(773) 276-2710
Mailing address
2736 W DIVISION ST, CHICAGO, IL 60622-2853
(773) 276-2372
(773) 276-2710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54015166
IL
Other
Enumeration date
02/04/2006
Last updated
08/22/2020
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