Broadway Ave Pharmacy

LBN: Halsted & 79Th St. Pharmacy Inc.
Broadway Ave Pharmacy is an health care organization with primary practice located at 151 Broadway St , Melrose Park IL 60160-3702. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Halsted & 79Th St. Pharmacy Inc. can be contacted via phone (708) 450-0400, or through Mehta, Tushar via phone (708) 450-0400.

Contact Information

Primary practice address
151 Broadway St Melrose Park IL 60160-3702
Phone: (708) 450-0400
Fax: (708) 344-3668
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Tushar RPH
Phone: (708) 450-0400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054014924 Illinois

Profile Details

NPI number 1861551079
LBN Legal business name Halsted & 79Th St. Pharmacy Inc.
DBA Doing business as Broadway Ave Pharmacy
Authorized official Mehta, Tushar RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Feb 3rd, 2011 - 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.

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