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Organization
SURECARE DISCOUNT PHARMACY INC
Active
Organization
SURECARE DISCOUNT PHARMACY INC
Active
Other names
Surecare Pharmacy IL
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT SHAH RPH (PRESIDENT)
(708) 713-0078
Entity
Organization
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(708) 713-0078
(708) 405-2078
Mailing address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(708) 713-0078
(708) 405-2078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.020127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165987
PK
—
Enumeration date
10/28/2016
Last updated
09/26/2022
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