Extended Living Pharmacy Llc

LBN: Extended Living Pharmacy Llc
Extended Living Pharmacy Llc is an health care organization with primary practice located at 338 W Marion Ave , Forsyth IL 62535-1064. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Extended Living Pharmacy Llc can be contacted via phone (217) 875-7147, or through Aubry, Jeffrey via phone (217) 855-8378.

Contact Information

Primary practice address
338 W Marion Ave Forsyth IL 62535-1064
Phone: (217) 875-7147
Fax: (217) 875-7081
Website:
Map and Directions
Authorized official contact:
Name: Aubry, Jeffrey RPH
Phone: (217) 855-8378

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 054016055 Illinois

Profile Details

NPI number 1992899306
LBN Legal business name Extended Living Pharmacy Llc
DBA Doing business as Extended Living Pharmacy Llc
Authorized official Aubry, Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 13th, 2019 - about 5 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 1992899306 NPPES
Other 2023265 PK

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