Organization
VISHWAM, INC
Active
Other names
Bourbonnais Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP VACHHANI (PRESIDENT)
(815) 401-4000
Entity
Organization
Contact information
Practice address
963 N CONVENT ST STE E, BOURBONNAIS, IL 60914-1386
(815) 401-4000
(815) 855-8550
Mailing address
963 N CONVENT ST STE E, BOURBONNAIS, IL 60914-1386
(815) 401-4000
(815) 855-8550
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
05/31/2023
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