# ORSINI PHARMACEUTICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ORSINI PHARMACEUTICAL SERVICES, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699335984
- **Authorized official:** BRANDON TOM PHARMD (PRESIDENT & CEO)
- **Authorized official phone:** (847) 734-7373

## Contact information

- **Practice address:** 1107 NICHOLAS BOULEVARD, ELK GROVE VILLAGE, IL 60007
- **Practice address phone:** (800) 410-8575
- **Practice address fax:** (847) 734-1822
- **Mailing address:** 1107 NICHOLAS BOULEVARD, ELK GROVE VILLAGE, IL 60007
- **Mailing address phone:** (800) 410-8575
- **Mailing address fax:** (847) 734-1822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 12/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 054.020692 | PHARMACY LICENSE | IL |