Joliet Professional Pharmacy Corp.

LBN: Joliet Professional Pharmacy Corp.
Joliet Professional Pharmacy Corp. is an health care organization with primary practice located at 2401 W Jefferson St Ste 200 , Joliet IL 60435-6428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Joliet Professional Pharmacy Corp. can be contacted via phone (815) 725-9315, or through Kodiak, Chad J via phone (815) 725-9315.

Contact Information

Primary practice address
2401 W Jefferson St Ste 200 Joliet IL 60435-6428
Phone: (815) 725-9315
Fax: (815) 725-3372
Website:
Map and Directions
Authorized official contact:
Name: Kodiak, Chad J
Phone: (815) 725-9315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054-004174 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054-004174 Illinois

Profile Details

NPI number 1144362567
LBN Legal business name Joliet Professional Pharmacy Corp.
DBA Doing business as
Authorized official Kodiak, Chad J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 20th, 2022 - about 2 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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