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NPI Code Detail

MEDICARE: J AND J PHARMACY LTD

MEDICARE: J AND J PHARMACY LTD
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
1333600000XPharmacy
2183500000XPharmacist051033681IL

General Provider Information

NPI Number : 1346568540
Entity Type Code : Organization
Provider Name (Legal Business Name) : J AND J PHARMACY LTD
Provider Business Mailing Address
First Line : 1608, W. 69TH ST.
Second Line :
City : CHICAGO
State : IL
Zip : 60636-3316
Country : US
Telephone Number : 773-778-2356
Fax Number :
Provider Business Practice Location Address
First Line : 1608, W. 69TH ST.
Second Line :
City : CHICAGO
State : IL
Zip : 60636-3316
Country : US
Telephone Number : 773-778-2356
Fax Number :
Authorized Official
Title or Position : PRESIDENT/R.PH.
Name : JAGDISH P. DESAI
Credential : R.PH. CREGISTERED PH
Telephone Number : 773-778-2356
Provider Enumeration Date : 05/12/2010
Last Update Date : 05/12/2010

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Directions to “J AND J PHARMACY LTD ” Practice Location

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