# BASINGER'S MADISON PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235458910
- **Authorized official:** HARISH BHATT (RPH)
- **Authorized official phone:** (815) 582-3440

## Contact information

- **Practice address:** 330 MADISON ST, SUITE 102, JOLIET, IL 60435-6565
- **Practice address phone:** (815) 582-3440
- **Practice address fax:** (815) 582-3085
- **Mailing address:** 330 N MADISON, SUITE 102, JOLIET, IL 60435
- **Mailing address phone:** (815) 582-3440
- **Mailing address fax:** (815) 582-3085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016785 | IL | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 05/20/2010