Organization
BASINGER'S MADISON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARISH BHATT (RPH)
(815) 582-3440
Entity
Organization
Contact information
Practice address
330 MADISON ST, SUITE 102, JOLIET, IL 60435-6565
(815) 582-3440
(815) 582-3085
Mailing address
330 N MADISON, SUITE 102, JOLIET, IL 60435
(815) 582-3440
(815) 582-3085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016785
IL
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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