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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