Provider Demographics
NPI:1336768001
Name:MHG PHARMACY SERVICES, LLC
Entity Type:Organization
Organization Name:MHG PHARMACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAKHKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-533-5584
Mailing Address - Street 1:152 JOANNE WAY
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2479
Mailing Address - Country:US
Mailing Address - Phone:708-533-5584
Mailing Address - Fax:
Practice Address - Street 1:2923 N CALIFORNIA AVE STE 240
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7702
Practice Address - Country:US
Practice Address - Phone:312-819-6899
Practice Address - Fax:312-819-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-13
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy