| NPI | 1912063959 |
|---|---|
| Former Legal Business Name | BELMONT & WESTERN FARMACIA, LLC |
| Entity Type | Organization |
| Authorized Contact | KAMLESH P SHETH President/Pharmacist 773-880-5544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: IL 054-016487) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054014348) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-08-04 |