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NPI Code Detail

MEDICARE: VIKOL PHARMACY INC

MEDICARE: VIKOL 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy054014030IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12024725OTHERPK

General Provider Information

NPI Number : 1679526073
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIKOL PHARMACY INC
Provider Business Mailing Address
First Line : 3752 W 16TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2028
Country : US
Telephone Number : 773-521-0060
Fax Number : 773-521-8770
Provider Business Practice Location Address
First Line : 3752 W 16TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2028
Country : US
Telephone Number : 773-521-0060
Fax Number : 773-521-8770
Authorized Official
Title or Position : MANAGER
Name : KOLAWOLE DUROJAIYE
Credential : BSC PHARMACY
Telephone Number : 773-521-0060
Provider Enumeration Date : 05/18/2006
Last Update Date : 02/23/2017

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Directions to “VIKOL PHARMACY INC ” Practice Location

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