Organization
BUBBLEPACK PHARMACY INC
Active
Other names
BASINGER'S ESSINGTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SONDAG (MANAGER)
(815) 725-1102
Entity
Organization
Contact information
Practice address
2202 ESSINGTON RD, STE 104, JOLIET, IL 60435-1634
(815) 676-5320
(815) 436-4586
Mailing address
2202 ESSINGTON RD, STE 104, JOLIET, IL 60435-1634
(815) 676-5320
(815) 436-4586
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054017045
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117582
PK
—
Enumeration date
10/29/2008
Last updated
11/07/2022
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