Organization · Type 2 NPI

Provena Pharmacy Elgin

Community/Retail Pharmacy · Elgin, IL

NPI number 1811902455 Active

Practice location

750 Fletcher Dr, Ste 103
Elgin, IL 60123-4703

Fax (849) 622-2072

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	54013758 (IL)
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

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About NPI 1811902455

Provena Pharmacy Elgin's National Provider Identifier is 1811902455, issued on Jul 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Elgin, IL. The record was last updated on Sep 11, 2025.