Organization
JAS HEALTHCARE INC
Active
Other names
WELLS RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DILIP SHAH (PHARMACIST)
(312) 567-1030
Entity
Organization
Contact information
Practice address
337 E 35TH ST, CHICAGO, IL 60616-3951
(312) 567-1030
(312) 567-1040
Mailing address
5 CHESWICK CT, DILIP SHAH, SCHAUMBURG, IL 60194
(847) 346-8249
(312) 567-1040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.016808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124716
PK
—
Enumeration date
07/30/2006
Last updated
03/07/2014
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