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Organization
SURECARE HEALTH PHARMACY INC
Active
Organization
SURECARE HEALTH PHARMACY INC
Active
Other names
Surecare Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT SHAH (PHARMACIST INCHARGE)
(732) 910-2949
Entity
Organization
Contact information
Practice address
165 S CURTIS AVE, KANKAKEE, IL 60901-3218
(732) 910-2949
(773) 475-7183
Mailing address
165 S CURTIS AVE, KANKAKEE, IL 60901-3218
(732) 910-2949
(773) 475-7183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054019699
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158823
PK
—
Enumeration date
03/14/2016
Last updated
05/27/2016
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