Organization
PRIMISHA PHRAMACY LLC
Active
Other names
Primisha Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRITESH PATEL RPH (PRESIDENT)
(248) 925-8496
Entity
Organization
Contact information
Practice address
750 FLETCHER DR, STE 103, ELGIN, IL 60123-4703
(847) 742-6700
(847) 742-6767
Mailing address
750 FLETCHER DR, STE 103, ELGIN, IL 60123-4703
(847) 742-6700
(847) 742-6767
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133046
PK
—
05
—
453069834-60123-01
—
IL
Enumeration date
12/11/2011
Last updated
10/20/2016
Update your record
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