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Organization

ORSINI PHARMACEUTICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON TOM PHARMD (PRESIDENT AND CEO)
(847) 734-7373
Entity
Organization

Contact information

Practice address
1107 NICHOLAS BLVD, ELK GROVE VILLAGE, IL 60007-2516
(847) 734-7373
(847) 734-1822
Mailing address
1107 NICHOLAS BLVD, ELK GROVE VILLAGE, IL 60007-2516
(847) 734-7373
(847) 725-8104

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054.020692
PHARMACY LICENSE
IL
01
1477416
NCPDP
IL
Enumeration date
10/04/2006
Last updated
03/07/2023
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