Martin Avenue Pharmacy Inc

LBN: Martin Avenue Pharmacy Inc
Martin Avenue Pharmacy Inc is an health care organization with primary practice located at 1247 Rickert Dr Ste 100, Naperville IL 60540-1008. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Martin Avenue Pharmacy Inc can be contacted via phone (630) 355-6400, or through Marks, Thomas via phone (630) 355-6400.

Contact Information

Primary practice address
1247 Rickert Dr Ste 100 Naperville IL 60540-1008
Phone: (630) 355-6400
Fax: (630) 355-6522
Website:
Map and Directions
Authorized official contact:
Name: Marks, Thomas RPH
Phone: (630) 355-6400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054004976 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1609806983
LBN Legal business name Martin Avenue Pharmacy Inc
DBA Doing business as Martin Avenue Pharmacy Inc
Authorized official Marks, Thomas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 11th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609806983 NPPES
Other 2022622 PK

Popular Providers