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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609806983 | NPPES |
| Other | 2022622 | PK |
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