Provider Demographics
NPI:1811393960
Name:ROSHAN'S WORLD'S LLC
Entity Type:Organization
Organization Name:ROSHAN'S WORLD'S LLC
Other - Org Name:JDISCOUNT PHARMACY - JAYS FRESH MARKET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-675-7148
Mailing Address - Street 1:3100 E 92ND ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-4610
Mailing Address - Country:US
Mailing Address - Phone:773-278-5337
Mailing Address - Fax:773-278-5365
Practice Address - Street 1:3100 E 92ND ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-4610
Practice Address - Country:US
Practice Address - Phone:773-278-5337
Practice Address - Fax:773-278-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540189033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy