Ingalls Pro Pharm Ll

LBN: Medcentrix Inc.
Ingalls Pro Pharm Ll is an health care organization with primary practice located at 6701 159Th St , Tinley Park IL 60477-1758. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medcentrix Inc. can be contacted via phone (708) 915-7550, or through Rutkowski, Ronald J. via phone (708) 915-7550.

Contact Information

Primary practice address
6701 159Th St Tinley Park IL 60477-1758
Phone: (708) 915-7550
Fax: (708) 915-7507
Website:
Map and Directions
Authorized official contact:
Name: Rutkowski, Ronald J.
Phone: (708) 915-7550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054015155 Illinois

Profile Details

NPI number 1487829990
LBN Legal business name Medcentrix Inc.
DBA Doing business as Ingalls Pro Pharm Ll
Authorized official Rutkowski, Ronald J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 16 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 1487829990 NPPES
Illinois MEDICAID 363374008002

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