Organization
KND HEALTH CARE SERVICES
Active
Other names
Seneca Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK T DATTANI R. PH. (PHARMACY MANAGER)
(815) 357-6464
Entity
Organization
Contact information
Practice address
260 A SOUTH MAIN STREET, SENECA, IL 61360-0440
(815) 357-6464
(815) 357-6475
Mailing address
260 A SOUTH MAIN STREET, SENECA, IL 61360-0440
(815) 357-6464
(815) 357-6475
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
053.013439
IL
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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