Provider Demographics
NPI:1003102930
Name:SANDR HEALTHCARE LLC
Entity Type:Organization
Organization Name:SANDR HEALTHCARE LLC
Other - Org Name:ADVANCED SCRIPTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-622-5911
Mailing Address - Street 1:1350 REMINGTON RD
Mailing Address - Street 2:SUITE S
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4831
Mailing Address - Country:US
Mailing Address - Phone:847-622-5911
Mailing Address - Fax:
Practice Address - Street 1:1350 REMINGTON RD STE S
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4822
Practice Address - Country:US
Practice Address - Phone:847-622-5911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL0540176843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1485730OtherNCPDP PROVIDER IDENTIFICATION NUMBER