# PRISM PHARMACY LLC

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

## Provider details

- **NPI number:** 1518433077
- **Authorized official:** RAJUL SHETH (MEMBER)
- **Authorized official phone:** (224) 392-0727

## Contact information

- **Practice address:** 1795 GRANDSTAND PL STE 2A, ELGIN, IL 60123-4980
- **Practice address phone:** (224) 856-5354
- **Mailing address:** 1795 GRANDSTAND PL STE 2A, ELGIN, IL 60123-4980
- **Mailing address phone:** (224) 856-5354
- **Mailing address fax:** (224) 856-5215

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 04/17/2019