Organization
BEG INC
Active
Other names
INFANT JESUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GIN (PRESIDENT)
(773) 379-7548
Entity
Organization
Contact information
Practice address
5137 W CHICAGO AVE, CHICAGO, IL 60651-2904
(773) 379-7548
(773) 379-7548
Mailing address
5137 W CHICAGO AVE, CHICAGO, IL 60651-2904
(773) 379-7548
(773) 379-7548
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054014423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022929
PK
—
Enumeration date
08/31/2006
Last updated
11/22/2013
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