Provena Pharmacy Elgin in Elgin - Clinic Pharmacy
Provena Pharmacy Elgin - NPI 1811902455
Provena Pharmacy Elgin is a Clinic Pharmacy in Elgin, Illinois. Provena Pharmacy Elgin practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for Provena Pharmacy Elgin is 1811902455. The last update date is 2020-08-22.
Provena Pharmacy Elgin's current location address is 750 Fletcher Dr, Elgin, Illinois. You can contact this provider via phone number 8479315535 and fax number 8496222072. The mailing address for Provena Pharmacy Elgin is 750 Fletcher Dr, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provena Pharmacy Elgin |
|---|---|
| Address | 750 Fletcher Dr, Elgin, Illinois |
| Phone Number | 8479315535 |
| Fax Number | 8496222072 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR OF PHC |
|---|---|
| Authorized Official Name | Rao Satya |
| Credentials | RPH |
| Telephone Number | 8476953200 |
NPI Number Detail
| NPI Number | 1811902455 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 750 Fletcher Dr |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601234703 |
| Phone Number | 8479315535 |
| Fax Number | 8496222072 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 54013758 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1460803 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Provena Pharmacy Elgin by the Centers for Medicare & Medicaid Services (CMS)?
The Provena Pharmacy Elgin has been assigned the NPI (National Provider Identifier) 1811902455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Provena Pharmacy Elgin's physical address?
The Provena Pharmacy Elgin is physically located at 750 Fletcher Dr, in the city of Elgin, IL, with the postal code 601234703.
What is Provena Pharmacy Elgin's area of expertise and its corresponding taxonomy classification?
The Provena Pharmacy Elgin's field of specialization is Clinic Pharmacy, and it falls under the taxonomy code 3336C0002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811902455 to Provena Pharmacy Elgin?
The Centers for Medicare & Medicaid Services originally issued the 1811902455 to Provena Pharmacy Elgin on 2006-07-30.
As of what date was the information regarding Provena Pharmacy Elgin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Provena Pharmacy Elgin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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