200 Pharmacy Inc

LBN: 200 Pharmacy Inc
200 Pharmacy Inc is an health care organization with primary practice located at 9133 S Stony Island Ave , Chicago IL 60617-3512. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 200 Pharmacy Inc can be contacted via phone (773) 374-4550, or through White, Sherman via phone (773) 374-4550.

Contact Information

Primary practice address
9133 S Stony Island Ave Chicago IL 60617-3512
Phone: (773) 374-4550
Fax: (773) 374-4660
Website:
Map and Directions
Authorized official contact:
Name: White, Sherman RPH
Phone: (773) 374-4550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 051032504 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1285635094
LBN Legal business name 200 Pharmacy Inc
DBA Doing business as
Authorized official White, Sherman RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated May 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285635094 NPPES
Other 1445178 OTHER ID NUMBER

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