Organization
REGIONAL PHARMACY INC
Active
Other names
REGIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANI PATEL PHRMD (PRESIDENT)
(847) 585-4776
Entity
Organization
Contact information
Practice address
5544 W BELMONT AVE, CHICAGO, IL 60641-4129
(773) 685-5600
(773) 685-5605
Mailing address
5544 W BELMONT AVE, CHICAGO, IL 60641-4129
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54016364
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1481629
OTHER ID NUMBER
—
Enumeration date
02/08/2008
Last updated
02/12/2008
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