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General NPI Number Information
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NPI Number | 1134250145
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Entity Type | Organization
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Legal Business Name | YOGESHWAR PHARMACY INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60624-3653
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Country | US
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Telephone | 773-638-1948
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Fax | 773-638-6657
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Provider Business Mailing Address
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Address Line | 701 S PULASKI RD
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City | CHICAGO
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State | IL
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Zip | 60624-3653
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Country | US
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Telephone | 773-638-1948
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Fax | 773-638-6657
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Authorized Official
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Title or Position | OWNER
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Name | MR. PRAVINCHANDRA B PATEL
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Credential | RPH
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Telephone | 773-638-1948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State | IL
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