Organization
SURE CARE PHARMACY INCORPORATED
Active
Other names
Surecare pharmacy inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RACHIT SHAH (PHARMACIST INCHARGE)
(732) 910-2949
Entity
Organization
Contact information
Practice address
2001 S CALIFORNIA AVE STE 103, CHICAGO, IL 60608-2486
(773) 475-7711
(773) 475-7183
Mailing address
2001 S CALIFORNIA AVE STE 103, CHICAGO, IL 60608-2486
(773) 475-7711
(773) 475-7183
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131155
PK
—
Enumeration date
07/08/2011
Last updated
04/30/2020
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