Organization
BUBBLEPACK PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANGINI THAKER (PRESIDENT)
(815) 725-1102
Entity
Organization
Contact information
Practice address
2202 ESSINGTON RD, SUITE 104, JOLIET, IL 60435-1634
(815) 725-1102
Mailing address
2202 ESSINGTON RD, SUITE 104, JOLIET, IL 60435-1634
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
058013571
IL
Other
Enumeration date
04/09/2007
Last updated
11/07/2022
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