Organization
BELMONT & WESTERN FARMACIA LLC
Active
Parent organization
BELMONT & WESTERN FARMACIA
Other names
Belmont & Western Farmacia, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELMONT & WESTERN FARMACIA
Authorized official
MR. KAMLESH P SHETH PHARMACIST (PRESIDENT/PHARMACIST)
(773) 880-5544
Entity
Organization
Contact information
Practice address
2212 W. BELMONT AVE, 2212 W. BELMONT AVE, CHICAGO, IL 60618-6421
(773) 880-5544
(773) 880-1033
Mailing address
2212 W. BELMONT AVE, 2212 W. BELMONT AVE, CHICAGO, IL 60618-6421
(773) 880-5544
(773) 880-1033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054-016487
IL
333600000X
Pharmacy
054014348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3636236970001
—
IL
Enumeration date
12/27/2006
Last updated
08/04/2008
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