Provider Demographics
NPI:1720168784
Name:S.K.PHARMACY INC
Entity Type:Organization
Organization Name:S.K.PHARMACY INC
Other - Org Name:MEDICAL PARK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:C
Authorized Official - Last Name:MANEK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:630-801-3200
Mailing Address - Street 1:330 WESTON AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-4767
Mailing Address - Country:US
Mailing Address - Phone:630-801-3200
Mailing Address - Fax:630-801-3324
Practice Address - Street 1:330 WESTON AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4767
Practice Address - Country:US
Practice Address - Phone:630-801-3200
Practice Address - Fax:630-801-3324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========003Medicaid
IL1169550002Medicare NSC