| NPI | 1770939779 |
|---|---|
| Doing Business As | PURCELLVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SYAM BANDI Owner 815-342-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201004721) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-10-07 |