# STAYWELL PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Staywell Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073078325
- **Authorized official:** MR. SADATHULLA SHAREEF RPH (OWNER/PRESIDENT)
- **Authorized official phone:** (516) 859-4292

## Contact information

- **Practice address:** 912 E NORTHWEST HWY UNIT C-131, PALATINE, IL 60074-6506
- **Practice address phone:** (847) 942-3110
- **Practice address fax:** (847) 496-5437
- **Mailing address:** 912 E NORTHWEST HWY, PALATINE, IL 60074-6506
- **Mailing address phone:** (847) 496-5559
- **Mailing address fax:** (847) 496-5437

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 05/08/2020
