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General NPI Number Information
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NPI Number | 1336768001
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Entity Type | Organization
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Legal Business Name | MHG PHARMACY SERVICES, LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 10/06/2024
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Provider Practice Location Address
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Address Line | 2340 S HIGHLAND AVE STE 140
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City | LOMBARD
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State | IL
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Zip | 60148-5395
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Country | US
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Telephone | 630-458-8880
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Fax | 630-458-8882
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Provider Business Mailing Address
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Address Line | 152 JOANNE WAY
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City | ELMHURST
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State | IL
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Zip | 60126-2479
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Country | US
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Telephone | 708-533-5584
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEHUL KHAKHKHAR
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Credential |
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Telephone | 708-533-5584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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