Midwest Specialty Pharmacy Llc
LBN: Midwest Specialty Pharmacy Llc
Midwest Specialty Pharmacy Llc is an health care organization with primary practice located at 712 N Dearborn St Ste. 3A, Chicago IL 60654-3846. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Midwest Specialty Pharmacy Llc can be contacted via phone (312) 690-4585, or through Temim, Fedja via phone (312) 690-4585.
Contact Information
Primary practice address
712 N Dearborn St Ste. 3A
Chicago IL 60654-3846
Phone: (312) 690-4585
Fax: (312) 690-4575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054020297 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1578096749 |
|---|---|
| LBN Legal business name | Midwest Specialty Pharmacy Llc |
| DBA Doing business as | Midwest Specialty Pharmacy Llc |
| Authorized official | Temim, Fedja |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2017 |
| Last updated | Apr 5th, 2017 - about 7 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 | 1578096749 | NPPES |
| Other | 2168676 | PK |
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