Bolingbrook Pharmacy Inc

LBN: Bolingbrook Pharmacy Inc
Bolingbrook Pharmacy Inc is an health care organization with primary practice located at 402 W Boughton Rd Ste C, Bolingbrook IL 60440-1872. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Bolingbrook Pharmacy Inc 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 60440-1872
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 / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X 054005594 Illinois

Profile Details

NPI number 1912001967
LBN Legal business name Bolingbrook Pharmacy Inc
DBA Doing business as Bolingbrook Pharmacy Inc
Authorized official Singletary, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jan 18th, 2017 - about 7 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 1912001967 NPPES
Other 2022733 PK

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