Organization
PROGRESSIVE PHARMACY
Active
Other names
AUGUSTA PROGRESSIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IVY YU (PHARMACIST MANAGER)
(630) 595-5600
Entity
Organization
Contact information
Practice address
229 W GRAND AVE, UNIT V, BENSENVILLE, IL 60106-3399
(630) 595-5600
(630) 595-0448
Mailing address
229 W GRAND AVE, UNIT V, BENSENVILLE, IL 60106-3399
(630) 595-5600
(630) 595-0448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009583
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021709
PK
—
Enumeration date
02/27/2007
Last updated
11/21/2016
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