| NPI | 1184415408 |
|---|---|
| Doing Business As | BOURBONNAIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRADIP VACHHANI President 815-401-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |