PROVENA PHARMACY ELGIN

Community/Retail Pharmacy

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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Contact Information

PROVENA PHARMACY ELGIN

750 FLETCHER DR
STE 103
ELGIN, IL 60123-4703

Phone: 847-931-5535
Fax: 849-622-2072
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for PROVENA PHARMACY ELGIN

NPI # 1811902455

LBN Legal business name PROVENA PHARMACY ELGIN

Authorized official SATYA RAO - (DIR OF PHCY)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/30/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

IL	License #	54013758
	Other	1460803	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVENA PHARMACY ELGIN

Contact Information

Specialty

Community/Retail Pharmacy

Clinic Pharmacy

NPI Profile & details for PROVENA PHARMACY ELGIN

Reviews for PROVENA PHARMACY ELGIN