NPI | 1336768001 |
---|---|
Doing Business As | UPGRADE PHARMACY #100 |
Entity Type | Organization |
Authorized Contact | MEHUL KHAKHKHAR President 708-533-5584 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-10-06 |