Organization
PYRAMID PHARMACEUTICAL GROUP
Active
Other names
PPG Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL NWANDU (PHARMACIST IN CHARGE)
(630) 801-1700
Entity
Organization
Contact information
Practice address
1177 N HIGHLAND AVE, SUITE 203, AURORA, IL 60506-2281
(630) 801-1700
(630) 801-1777
Mailing address
1177 N HIGHLAND AVE, SUITE 203, AURORA, IL 60506-2281
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482695
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2008
Last updated
03/25/2009
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