Provena Pharmacy Elgin

NPI #1811902455 in Elgin, Illinois

Provider Information

NPI Number
1811902455
Entity Type
Organization
Organization Name
Provena Pharmacy Elgin
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 30, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
750 FLETCHER DR
Address 2
STE 103
City
Elgin
ZIP Code
60123-4703
Phone
(847) 931-5535

Authorized Official

Name
SATYA RAO, RPH
Title
DIR OF PHCY
Phone
(847) 695-3200

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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