Organization · NPI-2

A G Pharmacy

Pharmacist · Chicago, IL

NPI number1689624306
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1689624306
Entity type
Organization (NPI-2)
Legal business name
A G Pharmacy
Organization subpart
No
Enumeration date
May 11, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051031947ILYes

Practice location

1631 N Halsted St
Chicago, IL 60614-5517

Phone 312-664-2316 · Fax 708-788-3181

Mailing address

5736 Lee St
Morton Grove, IL 60053-3120

Phone 312-664-2316 · Fax 708-788-3181

Authorized official

Jatin Vora
Pharmacist In Charge
3126642316

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