Organization
SURECARE HEALTH PHARMACY INC
Active
Other names
Surecare Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT SHAH (PHARMACIST INCHARGE)
(732) 910-2949
Entity
Organization
Contact information
Practice address
165 S CURTIS AVE, KANKAKEE, IL 60901-3218
(732) 910-2949
(773) 475-7183
Mailing address
165 S CURTIS AVE, KANKAKEE, IL 60901-3218
(732) 910-2949
(773) 475-7183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054019699
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158823
PK
—
Enumeration date
03/14/2016
Last updated
05/27/2016
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