South Suburban Pharmacy
LBN: Mfmm Inc
South Suburban Pharmacy is an health care organization with primary practice located at 3330 W 177Th St Ste 1E, Hazel Crest IL 60429-2184. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mfmm Inc can be contacted via phone (708) 798-4300, or through Jean, Marcel via phone (708) 798-4300.
Contact Information
Primary practice address
3330 W 177Th St Ste 1E
Hazel Crest IL 60429-2184
Phone: (708) 798-4300
Fax: (708) 798-4447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054.015826 | Illinois |
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X |
Profile Details
| NPI number | 1205845898 |
|---|---|
| LBN Legal business name | Mfmm Inc |
| DBA Doing business as | South Suburban Pharmacy |
| Authorized official | Jean, Marcel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205845898 | NPPES |
| Other | 2023181 | PK |
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