Organization
AM VINCENNES DRUG, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI BHATT (PRESIDENT)
(708) 300-2912
Entity
Organization
Contact information
Practice address
1536 VINCENNES AVE STE 101, CHICAGO HEIGHTS, IL 60411-3458
(708) 300-2912
Mailing address
1536 VINCENNES AVE STE 101, CHICAGO HEIGHTS, IL 60411-3458
(708) 300-2912
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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