Bienestar Pharmacy Iii, Inc

LBN: Bienestar Pharmacy Iii, Inc
Bienestar Pharmacy Iii, Inc is an health care organization with primary practice located at 2359 S Western Ave Suite 100, Chicago IL 60608-3837. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bienestar Pharmacy Iii, Inc can be contacted via phone (773) 869-5200, or through Ghoghawala, Akil via phone (773) 924-6000.

Contact Information

Primary practice address
2359 S Western Ave Suite 100 Chicago IL 60608-3837
Phone: (773) 869-5200
Fax: (773) 869-5222
Website:
Map and Directions
Authorized official contact:
Name: Ghoghawala, Akil
Phone: (773) 924-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054020244 Illinois
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447783915
LBN Legal business name Bienestar Pharmacy Iii, Inc
DBA Doing business as Bienestar Pharmacy Iii, Inc
Authorized official Ghoghawala, Akil
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2017
Last updated Apr 11th, 2017 - about 8 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 1447783915 NPPES
Other 2168803 PK

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