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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
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