MEDICARE: S,K,PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	054-011290	IL

General Provider Information

NPI Number	:	1205937448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S,K,PHARMACY INC

Provider Business Mailing Address
First Line	:	475 N FARNSWORTH AVE
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60505-3004
Country	:	US
Telephone Number	:	630-820-3360
Fax Number	:	630-820-6864

Provider Business Practice Location Address
First Line	:	475 N FARNSWORTH AVE
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60505-3004
Country	:	US
Telephone Number	:	630-820-3360
Fax Number	:	630-820-6864

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUDHIR C MANEK
Credential	:	R.PH.
Telephone Number	:	630-820-3360

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/21/2010

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