Organization
VORAC PHARMACY LLC
Active
Other names
Vorac Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN VORAC (OWNER)
(309) 944-2166
Entity
Organization
Contact information
Practice address
114 S STATE ST, GENESEO, IL 61254-1348
(309) 944-2166
(309) 944-3574
Mailing address
114 S STATE ST, GENESEO, IL 61254-1348
(309) 944-2166
(309) 944-3574
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150301
PK
—
05
—
307027502001
—
IL
Enumeration date
10/03/2012
Last updated
08/16/2016
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