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
Mailing address
963 N CONVENT ST STE E, BOURBONNAIS, IL 60914-1386
(815) 401-4000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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