Korle Bu Pharmacy

LBN: Korle Bu Pharmacy Llc
Korle Bu Pharmacy is an health care organization with primary practice located at 5517 S Michigan Ave , Chicago IL 60637-1012. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Korle Bu Pharmacy Llc can be contacted via phone (773) 321-2656, or through Patel, Prashant via phone (847) 858-4776.

Contact Information

Primary practice address
5517 S Michigan Ave Chicago IL 60637-1012
Phone: (773) 321-2656
Fax: (773) 667-9815
Website:
Map and Directions
Authorized official contact:
Name: Patel, Prashant PHARM D
Phone: (847) 858-4776

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 54016112 Illinois

Profile Details

NPI number 1114065976
LBN Legal business name Korle Bu Pharmacy Llc
DBA Doing business as Korle Bu Pharmacy
Authorized official Patel, Prashant PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 24th, 2010 - about 15 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 1114065976 NPPES
Other 1480350 NCPDP PROVIDER IDENTIFICATION NUMBER

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