Custom Care Pharmacy Llc

LBN: Custom Care Pharmacy Llc
Custom Care Pharmacy Llc is an health care organization with primary practice located at 7007 North Ave , Oak Park IL 60302-1001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Custom Care Pharmacy Llc can be contacted via phone (708) 628-5464, or through Patel, Vishali via phone (661) 319-1150.

Contact Information

Primary practice address
7007 North Ave Oak Park IL 60302-1001
Phone: (708) 628-5464
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Vishali RPH
Phone: (661) 319-1150

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054.018588 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1699189134
LBN Legal business name Custom Care Pharmacy Llc
DBA Doing business as Custom Care Pharmacy Llc
Authorized official Patel, Vishali RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2014
Last updated Mar 16th, 2015 - 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 1699189134 NPPES
Other 2146437 PK

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