Provider Demographics
NPI:1720634728
Name:MARA PHARMACY INC.
Entity Type:Organization
Organization Name:MARA PHARMACY INC.
Other - Org Name:MARA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIGNESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:630-660-1709
Mailing Address - Street 1:129 S ROSELLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-5539
Mailing Address - Country:US
Mailing Address - Phone:847-641-5123
Mailing Address - Fax:847-641-5128
Practice Address - Street 1:129 S ROSELLE RD STE 200
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-5539
Practice Address - Country:US
Practice Address - Phone:847-641-5123
Practice Address - Fax:847-641-5128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy