Bolingbrook Compounding Pharmacy

LBN: Bolingbrook Compounding Pharmacy
Bolingbrook Compounding Pharmacy is an health care organization with primary practice located at 402 W Boughton Rd Ste C , Bolingbrook IL 60440-1985. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Bolingbrook Compounding Pharmacy can be contacted via phone (630) 759-6464, or through Singletary, John via phone (630) 759-6464.

Contact Information

Primary practice address
402 W Boughton Rd Ste C Bolingbrook IL 60440-1985
Phone: (630) 759-6464
Fax: (630) 759-1780
Website:
Map and Directions
Authorized official contact:
Name: Singletary, John
Phone: (630) 759-6464

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 054005594 Illinois

Profile Details

NPI number 1588082127
LBN Legal business name Bolingbrook Compounding Pharmacy
DBA Doing business as Bolingbrook Compounding Pharmacy
Authorized official Singletary, John
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Apr 1st, 2014 - about 10 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 1588082127 NPPES
Other 2144727 PK

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