Organization
ELGIN WEST PHARMACY INC
Active
Other names
ELGIN WEST PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ARVIND SURTI RPH (PHARMICIST IN CHARGE)
(847) 627-4600
Entity
Organization
Contact information
Practice address
1554 TODD FARM DR, ELGIN, IL 60123-1287
(847) 627-4600
(847) 627-4652
Mailing address
1554 TODD FARM DR, ELGIN, IL 60123-1287
(847) 627-4600
(847) 627-4652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-017931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134449
PK
—
Enumeration date
03/29/2012
Last updated
07/20/2016
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