Morton Alwan Pharmacy
LBN: Morton Alwan Pharmacy Llc
Morton Alwan Pharmacy is an health care organization with primary practice located at 419 Maxine Dr , Morton IL 61550-2495. 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.
Morton Alwan Pharmacy Llc can be contacted via phone (309) 291-0180, or through Minesinger, Michael via phone (309) 676-6333.
Contact Information
Primary practice address
419 Maxine Dr
Morton IL 61550-2495
Phone: (309) 291-0180
Fax: (309) 291-0181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054017911 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1114288628 |
|---|---|
| LBN Legal business name | Morton Alwan Pharmacy Llc |
| DBA Doing business as | Morton Alwan Pharmacy |
| Authorized official | Minesinger, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | Mar 29th, 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 | 1114288628 | NPPES |
| Other | 2135375 | PK |
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