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Organization

POLYCLINIC PHARMACY INC

Active
Other names
polyclinic medical equip co
Organization subpart
No

Provider details

NPI number
Authorized official
MR. INDERJIT S RAKALLA R.PH. (PRESIDENT)
(217) 477-5712
Entity
Organization

Contact information

Practice address
622 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 477-5712
(217) 477-5709
Mailing address
622 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 477-5712
(217) 477-5709

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000693
IL

Other

Enumeration date
01/23/2006
Last updated
08/27/2012
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