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Srisai Rx Mart Llc
Pharmacy in Le Roy, Illinois
NPI 1861811549

Srisai Rx Mart Llc is a Pharmacy based in Le Roy, IL. Srisai Rx Mart Llc practices in Le Roy, IL. The NPI Number for Srisai Rx Mart Llc is 1861811549 and holds a License No. 054014379 (Illinois).

The current practice location address for Srisai Rx Mart Llc is 304 Sunset Dr, Le Roy, IL and can be reached out via phone at 309-962-3627 and via fax at 309-962-3122. You can also correspond with Srisai Rx Mart Llc through the mailing address at 304 SUNSET DR, LE ROY, IL - 61752-1679 (mailing address contact number: 309-962-3627).

Location: 304 Sunset Dr, Le Roy, IL, 61752-1679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861811549
Provider Name
Srisai Rx Mart Llc
Credential
Provider Entity Type
Organization
Address
304 Sunset Dr, Le Roy, IL, 61752-1679
Phone Number
309-962-3627
Fax Number
309-962-3122
Provider Enumeration Date
04/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2145186 01 PK
institution
Provider Business Practice Location Address Details
Address
304 Sunset Dr
City
Le Roy
State
Illinois
Zip
61752-1679
Phone Number
309-962-3627
Fax Number
309-962-3122
person
Provider Business Mailing Address Details
Address
304 Sunset Dr
City
Le Roy
State
Illinois
Zip
61752-1679
Phone Number
309-962-3627
Fax Number
309-962-3122
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054014379 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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