Organization
KND HEALTH CARE SERVICES SC
Active
Other names
Prime Care LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEEPAK T DATTANI R. PH (PHARMACY MANAGER)
(815) 357-9898
Entity
Organization
Contact information
Practice address
260 B S MAIN SRTEET, SENECA, IL 61360-0440
(815) 357-9898
(815) 357-6528
Mailing address
260 B S MAIN STREET, SENECA, IL 61360-0440
(815) 357-9898
(815) 357-6528
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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