Kedvon Pharmacy Inc

LBN: Kedvon Pharmacy Inc
Kedvon Pharmacy Inc is an health care organization with primary practice located at 62 S Milwaukee Ave , Wheeling IL 60090-3108. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Kedvon Pharmacy Inc can be contacted via phone (773) 338-7171, or through Korol, Vladlena via phone (773) 338-7171.

Contact Information

Primary practice address
62 S Milwaukee Ave Wheeling IL 60090-3108
Phone: (773) 338-7171
Fax: (773) 338-7272
Website:
Map and Directions
Authorized official contact:
Name: Korol, Vladlena PHARMD
Phone: (773) 338-7171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1861489353
LBN Legal business name Kedvon Pharmacy Inc
DBA Doing business as Kedvon Pharmacy Inc
Authorized official Korol, Vladlena PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Feb 20th, 2021 - about 3 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 1861489353 NPPES
Other 1466831 NCPDP PROVIDER IDENTIFICATION NUMBER

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