Organization
PRIMARY PHARMACY INC
Active
Other names
BASINGERS PRIMARY CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HARISH BHATT RPH (MANAGER)
(815) 725-1102
Entity
Organization
Contact information
Practice address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 723-0300
(815) 723-2308
Mailing address
2025 S CHICAGO ST, JOLIET, IL 60436-3172
(815) 723-0300
(815) 723-2308
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
054014258
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2025128
PK
—
Enumeration date
12/13/2006
Last updated
03/16/2016
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