Organization
SURECARE DISCOUNT PHARMACY INC
Active
Other names
Surecare Pharmacy IL
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT SHAH RPH (PRESIDENT)
(708) 713-0078
Entity
Organization
Contact information
Practice address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(708) 713-0078
(708) 405-2078
Mailing address
4700 S CALIFORNIA AVE, CHICAGO, IL 60632-2016
(708) 713-0078
(708) 405-2078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.020127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165987
PK
—
Enumeration date
10/28/2016
Last updated
09/26/2022
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