# PHARMACIA EL AMANECER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmacia El Amanecer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063623908
- **Authorized official:** KISHORE B PUROHIT (VICE PRESIDENT)
- **Authorized official phone:** (312) 850-9686

## Contact information

- **Practice address:** 1842 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
- **Practice address phone:** (312) 850-9686
- **Practice address fax:** (312) 850-9697
- **Mailing address:** 1842 S BLUE ISLAND AVE, CHICAGO, IL 60608-3013
- **Mailing address phone:** (312) 850-9686
- **Mailing address fax:** (312) 850-9697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | IL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 11/02/2007