Coal City Pharmacy

LBN: Coal City Pharmacy
Coal City Pharmacy is an health care organization with primary practice located at 175 S Broadway St , Coal City IL 60416-1532. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Coal City Pharmacy can be contacted via phone (815) 634-2391, or through Beverly, Thomas E via phone (815) 634-2391.

Contact Information

Primary practice address
175 S Broadway St Coal City IL 60416-1532
Phone: (815) 634-2391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beverly, Thomas E
Phone: (815) 634-2391

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054007459 Illinois

Profile Details

NPI number 1497960744
LBN Legal business name Coal City Pharmacy
DBA Doing business as
Authorized official Beverly, Thomas E
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Jul 30th, 2008 - about 17 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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