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:
Map and Directions
Authorized official contact:
Name: Ghogawala, Akil PHARM.D.
Phone: (847) 420-3789

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104930098 NPPES
Other 2023192 PK

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