Organization
PRIMERX, INC.
Active
Other names
Antillas Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONAK MANEK R.PH. (SECRETARY/TREAUSRER)
(630) 747-7495
Entity
Organization
Contact information
Practice address
3109 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 292-5555
Mailing address
3109 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(773) 292-5555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019688
IN
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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