# DESNA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972926244
- **Authorized official:** MARINA FEFERMAN (SECRETARY)
- **Authorized official phone:** (847) 845-2180

## Contact information

- **Practice address:** 307 S MILWAUKEE AVE, SUITE 109, WHEELING, IL 60090-5076
- **Practice address phone:** (847) 229-5477
- **Practice address fax:** (847) 229-8448
- **Mailing address:** 843 TALL GRASS LN, MUNDELEIN, IL 60060-4565
- **Mailing address phone:** (847) 845-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | IL | — |
| 333600000X | Pharmacy | — | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 07/10/2014