Organization
GANESH PHARMACY INC
Active
Other names
Ganesh Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN PATEL (PHARACIST-IN-CHARGE)
(224) 558-3511
Entity
Organization
Contact information
Practice address
327 W 76TH ST, CHICAGO, IL 60620-1604
(773) 783-2865
(773) 783-0346
Mailing address
327 W 76TH ST, CHICAGO, IL 60620-1604
(773) 783-2865
(773) 783-0346
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124005
PK
—
Enumeration date
03/01/2010
Last updated
04/28/2017
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