Organization
ARUNA H PATEL
Active
Other names
FARMACIA CENTRO MEDICO
Organization subpart
No
Provider details
NPI number
Authorized official
HARSHAD PATEL (PHARMACY MANAGER)
(773) 265-0553
Entity
Organization
Contact information
Practice address
3623 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 265-0553
(773) 265-0553
Mailing address
3623 W CHICAGO AVE, CHICAGO, IL 60651-3934
(773) 265-0553
(773) 265-0553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054011200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021405
PK
—
Enumeration date
08/18/2006
Last updated
04/18/2017
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