Organization
NUCARA OF ILLINOIS LLC
Active
Other names
Vallette Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ALBERT MEYER RPH (CHIEF RPH)
(630) 834-1223
Entity
Organization
Contact information
Practice address
101 WEST VALLETTE STREET, ELMHURST, IL 60126-3951
(630) 834-1223
(630) 834-6643
Mailing address
101 WEST VALLETTE STREET, ELMHURST, IL 60126-3951
(630) 834-1223
(630) 834-6643
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362356013001
—
IL
Enumeration date
12/16/2005
Last updated
08/22/2020
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