Organization
KALPESH M SHAH
Active
Other names
K AND K PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KALPESH SHAH (OWNER)
(773) 667-4400
Entity
Organization
Contact information
Practice address
401 E 61ST ST, CHICAGO, IL 60637-2324
(773) 667-4400
(773) 667-5040
Mailing address
401 E 61ST ST, CHICAGO, IL 60637-2324
(773) 667-4400
(773) 667-5040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054007053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017816
PK
—
05
—
359606117001
—
IL
Enumeration date
07/19/2006
Last updated
09/24/2014
Update your record
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