Organization
DESNA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FEFERMAN (SECRETARY)
(847) 845-2180
Entity
Organization
Contact information
Practice address
307 S MILWAUKEE AVE, SUITE 109, WHEELING, IL 60090-5076
(847) 229-5477
(847) 229-8448
Mailing address
843 TALL GRASS LN, MUNDELEIN, IL 60060-4565
(847) 845-2180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
01/22/2014
Last updated
07/10/2014
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