Organization
ADDISON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERUL T MEHTA RPH (PHARMACY MANAGER)
(630) 543-0988
Entity
Organization
Contact information
Practice address
414 W LAKE ST, ADDISON, IL 60101-2305
(630) 543-0988
(630) 543-0918
Mailing address
414 W LAKE ST, ADDISON, IL 60101-2305
(630) 543-0988
(630) 543-0918
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
01/08/2016
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