Glen Ellyn Pharmacy Health Care Shoppes

LBN: Glen Ellyn Pharmacy Inc
Glen Ellyn Pharmacy Health Care Shoppes is an health care organization with primary practice located at 486 Roosevelt Road , Glen Ellyn IL 60137-5611. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Glen Ellyn Pharmacy Inc can be contacted via phone (630) 469-5200, or through Listecki, Robert E via phone (630) 469-5200.

Contact Information

Primary practice address
486 Roosevelt Road Glen Ellyn IL 60137-5611
Phone: (630) 469-5200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Listecki, Robert E
Phone: (630) 469-5200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1932207750
LBN Legal business name Glen Ellyn Pharmacy Inc
DBA Doing business as Glen Ellyn Pharmacy Health Care Shoppes
Authorized official Listecki, Robert E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 7th, 2023 - about last year

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 1932207750 NPPES
Other 1422891 NATIONAL ASSOCIATON OF BO

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