Provider Demographics
NPI:1538682638
Name:KB PHARMACY INC
Entity Type:Organization
Organization Name:KB PHARMACY INC
Other - Org Name:GOOD DAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:630-901-9133
Mailing Address - Street 1:2442 ARMY TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-3012
Mailing Address - Country:US
Mailing Address - Phone:630-901-9133
Mailing Address - Fax:
Practice Address - Street 1:2442 ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-3012
Practice Address - Country:US
Practice Address - Phone:630-901-9133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy