# VORAC PHARMACY LLC

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

## Provider details

- **NPI number:** 1871845776
- **Authorized official:** NATHAN VORAC (OWNER)
- **Authorized official phone:** (309) 944-2166

## Contact information

- **Practice address:** 114 S STATE ST, GENESEO, IL 61254-1348
- **Practice address phone:** (309) 944-2166
- **Practice address fax:** (309) 944-3574
- **Mailing address:** 114 S STATE ST, GENESEO, IL 61254-1348
- **Mailing address phone:** (309) 944-2166
- **Mailing address fax:** (309) 944-3574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054018779 | IL | Yes |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 08/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2150301 | PK | — |
| 05 | — | 307027502001 | — | IL |