# VISHWAM, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184384828
- **Authorized official:** PRADIP VACHHANI (PRESIDENT)
- **Authorized official phone:** (815) 401-4000

## Contact information

- **Practice address:** 963 N CONVENT ST STE E, BOURBONNAIS, IL 60914-1386
- **Practice address phone:** (815) 401-4000
- **Practice address fax:** (815) 855-8550
- **Mailing address:** 963 N CONVENT ST STE E, BOURBONNAIS, IL 60914-1386
- **Mailing address phone:** (815) 401-4000
- **Mailing address fax:** (815) 855-8550

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 05/31/2023