Ingalls Professional Pharmacy

LBN: Medcentrix Inc
Ingalls Professional Pharmacy is an health care organization with primary practice located at 71 W 156Th St Suite 104, Harvey IL 60426-4260. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medcentrix Inc can be contacted via phone (708) 915-4306, or through Witvoet, Julie via phone (708) 915-4306.

Contact Information

Primary practice address
71 W 156Th St Suite 104 Harvey IL 60426-4260
Phone: (708) 915-4306
Fax: (708) 915-2095
Website:
Map and Directions
Authorized official contact:
Name: Witvoet, Julie
Phone: (708) 915-4306

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054009589 Illinois

Profile Details

NPI number 1912057027
LBN Legal business name Medcentrix Inc
DBA Doing business as Ingalls Professional Pharmacy
Authorized official Witvoet, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 19th, 2014 - about 10 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 1912057027 NPPES
Other 2018420 PK

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