# RAJESHWARIKRUPA INC

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

## Provider details

- **NPI number:** 1700178670
- **Authorized official:** MR. BHARGAVKUMAR M PATEL RPH (OWNER/PHARMACIST IN CHARGE)
- **Authorized official phone:** (217) 681-1014

## Contact information

- **Practice address:** 4 N MAIN ST, VILLA GROVE, IL 61956-1545
- **Practice address phone:** (217) 681-1014
- **Practice address fax:** (217) 681-1043
- **Mailing address:** 4 N MAIN ST, VILLA GROVE, IL 61956-1545
- **Mailing address phone:** (217) 681-1014
- **Mailing address fax:** (217) 681-1043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 54-017689 | IL | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 10/08/2015