Halsted & 79th St. Pharmacy Inc.
NPI #1861551079 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1861551079
- Entity Type
- Organization
- Organization Name
- Halsted & 79th St. Pharmacy Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Feb 3, 2011
Practice Location
- Address
- 151 BROADWAY ST
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-3702
- Phone
- (708) 450-0400
Authorized Official
- Name
- TUSHAR MEHTA, RPH
- Title
- PHARMACY MANAGER
- Phone
- (708) 450-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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