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Organization

SYMBRIA RX SERVICES, LLC

Active
Other names
Alliance Pharmacy Services
Organization subpart
No

Provider details

NPI number
Authorized official
JAY MANDRA PHARMD (DIRECTOR OF PHARMACY)
(630) 981-8091
Entity
Organization

Contact information

Practice address
2801 OLD GLENVIEW ROAD, SUITE 228, WILMETTE, IL 60091-3001
(630) 413-5843
(847) 256-9583
Mailing address
2801 OLD GLENVIEW ROAD, SUITE 228, WILMETTE, IL 60091-3001
(630) 413-5843
(847) 256-9583

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.017170
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2131873
PK
Enumeration date
08/31/2011
Last updated
09/18/2013
About Stedi
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  • EDI platform