Organization
RAJESHWARIKRUPA INC
Active
Other names
VILLA GROVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHARGAVKUMAR M PATEL RPH (OWNER/PHARMACIST IN CHARGE)
(217) 681-1014
Entity
Organization
Contact information
Practice address
4 N MAIN ST, VILLA GROVE, IL 61956-1545
(217) 681-1014
(217) 681-1043
Mailing address
4 N MAIN ST, VILLA GROVE, IL 61956-1545
(217) 681-1014
(217) 681-1043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54-017689
IL
Other
Enumeration date
05/10/2011
Last updated
10/08/2015
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