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Provena Pharmacy Elgin
Community/Retail Pharmacy in Elgin, Illinois
NPI 1811902455

Provena Pharmacy Elgin is a Community/Retail Pharmacy based in Elgin, IL and is specialized in Community/Retail Pharmacy. Provena Pharmacy Elgin practices in Elgin, IL. The NPI Number for Provena Pharmacy Elgin is 1811902455 and holds a License No. 54013758 (Illinois).

The current practice location address for Provena Pharmacy Elgin is 750 Fletcher Dr, Elgin, IL and can be reached out via phone at 847-931-5535 and via fax at 849-622-2072.

Location: 750 Fletcher Dr, Elgin, IL, 60123-4703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811902455
Provider Name
Provena Pharmacy Elgin
Credential
Provider Entity Type
Organization
Address
750 Fletcher Dr, Elgin, IL, 60123-4703
Phone Number
847-931-5535
Fax Number
849-622-2072
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1460803 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
750 Fletcher Dr
City
Elgin
State
Illinois
Zip
60123-4703
Phone Number
847-931-5535
Fax Number
849-622-2072
person
Provider Business Mailing Address Details
Address
750 Fletcher Dr
City
Elgin
State
Illinois
Zip
60123-4703
Phone Number
847-931-5535
Fax Number
849-622-2072
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
54013758 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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