Provider Demographics
NPI:1699460907
Name:KHATAU-MANEK LTD
Entity type:Organization
Organization Name:KHATAU-MANEK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JIGNESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-296-1400
Mailing Address - Street 1:1400 E GOLF RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-1236
Mailing Address - Country:US
Mailing Address - Phone:847-296-1400
Mailing Address - Fax:847-296-1431
Practice Address - Street 1:1400 E GOLF RD STE 101
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-1236
Practice Address - Country:US
Practice Address - Phone:847-296-1400
Practice Address - Fax:847-296-1431
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KHATAU-MANEK LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy