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General NPI Number Information
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NPI Number | 1205937448
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Entity Type | Organization
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Legal Business Name | S,K,PHARMACY INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 475 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-3004
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Country | US
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Telephone | 630-820-3360
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Fax | 630-820-6864
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Provider Business Mailing Address
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Address Line | 475 N FARNSWORTH AVE
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City | AURORA
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State | IL
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Zip | 60505-3004
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Country | US
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Telephone | 630-820-3360
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Fax | 630-820-6864
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUDHIR C MANEK
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Credential | R.PH.
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Telephone | 630-820-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054-011290
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License Number State | IL
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