# REGIONAL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REGIONAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275711533
- **Authorized official:** PRASHANI PATEL PHRMD (PRESIDENT)
- **Authorized official phone:** (847) 585-4776

## Contact information

- **Practice address:** 5544 W BELMONT AVE, CHICAGO, IL 60641-4129
- **Practice address phone:** (773) 685-5600
- **Practice address fax:** (773) 685-5605
- **Mailing address:** 5544 W BELMONT AVE, CHICAGO, IL 60641-4129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 54016364 | IL | Yes |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1481629 | OTHER ID NUMBER | — |