Organization
PHARM INVESTCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUTUL SHAH (MANAGER)
(312) 391-6845
Entity
Organization
Contact information
Practice address
434 ALEXANDERSVILLE RD, MIAMISBURG, OH 45342-3658
(937) 435-5751
Mailing address
1454 N MILWAUKEE AVE APT 4, CHICAGO, IL 60622-9205
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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