Christie Pharmacy Champaign Llc
LBN: Christie Pharmacy Champaign Llc
Christie Pharmacy Champaign Llc is an health care organization with primary practice located at 101 W University Ave , Champaign IL 61820-3909. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Christie Pharmacy Champaign Llc can be contacted via phone (217) 366-1278, or through Dummler, Dave via phone (217) 366-1278.
Contact Information
Primary practice address
101 W University Ave
Champaign IL 61820-3909
Phone: (217) 366-1278
Fax: (217) 366-6897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054016506 | Illinois |
Profile Details
| NPI number | 1487749560 |
|---|---|
| LBN Legal business name | Christie Pharmacy Champaign Llc |
| DBA Doing business as | Christie Pharmacy Champaign Llc |
| Authorized official | Dummler, Dave |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Apr 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487749560 | NPPES |
| Illinois | MEDICAID | 370802668003 | |
| Illinois | Other | 1413878 |
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