Bienestar Pharmacy
LBN: Olympia Fields Pharmacy Inc
Bienestar Pharmacy is an health care organization with primary practice located at 966 W 21St St , Chicago IL 60608-4511. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Olympia Fields Pharmacy Inc can be contacted via phone (312) 226-2266, or through Ghogawala, Akil via phone (847) 420-3789.
Contact Information
Primary practice address
966 W 21St St
Chicago IL 60608-4511
Phone: (312) 226-2266
Fax: (312) 226-9766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054015813 | Illinois |
Profile Details
| NPI number | 1104930098 |
|---|---|
| LBN Legal business name | Olympia Fields Pharmacy Inc |
| DBA Doing business as | Bienestar Pharmacy |
| Authorized official | Ghogawala, Akil PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Feb 21st, 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 | 1104930098 | NPPES |
| Other | 2023192 | PK |
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