Organization
NIRI CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHUL TOPIWALA (OWNER)
(847) 371-1614
Entity
Organization
Contact information
Practice address
405 5TH ST, LACON, IL 61540-1211
(309) 246-2770
(309) 246-2754
Mailing address
1933 BLUE HERON CIR, BARTLETT, IL 60103-2305
(309) 246-2770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.018022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137076
PK
—
Enumeration date
09/24/2012
Last updated
06/07/2018
Update your record
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