Healthcare Provider Details
I. General information
NPI: 1851295539
Provider Name (Legal Business Name): SUKHVIR EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
627 N YORK ST UNIT 152
ELMHURST IL
60126-1620
US
IV. Provider business mailing address
627 N YORK ST UNIT 152
ELMHURST IL
60126-1620
US
V. Phone/Fax
- Phone: 931-413-9502
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SUKHVIR
SINGH
Title or Position: MANAGER
Credential:
Phone: 931-413-9502