Organization
KEDVON PHARMACY SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VLADLENA KOROL PHARM.D. (PRESIDENT)
(847) 459-0001
Entity
Organization
Contact information
Practice address
56 SOUTH MILWAUKEE AVE., WHEELING, IL 60090
(847) 459-0001
(847) 947-2972
Mailing address
56 SO. MILWAUKEE AVE, WHEELING, IL 60090
(847) 459-0001
(847) 947-2972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-017721
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
054-017721
IL
333600000X
Pharmacy
054-07721
IL
3336C0003X
Community/Retail Pharmacy
Primary
054-017721
IL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
054-07721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054-017721
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/22/2011
Last updated
03/01/2024
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