Chicago Kedzie Drugs

LBN: Pee Dee Kay Inc
Chicago Kedzie Drugs is an health care organization with primary practice located at 4054 W North Ave , Chicago IL 60639-5223. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pee Dee Kay Inc can be contacted via phone (773) 486-2684, or through Maner, Ronak via phone (773) 486-2684.

Contact Information

Primary practice address
4054 W North Ave Chicago IL 60639-5223
Phone: (773) 486-2684
Fax: (773) 486-2742
Website:
Map and Directions
Authorized official contact:
Name: Maner, Ronak RPH
Phone: (773) 486-2684

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 54013902 Illinois

Profile Details

NPI number 1639115439
LBN Legal business name Pee Dee Kay Inc
DBA Doing business as Chicago Kedzie Drugs
Authorized official Maner, Ronak RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Mar 19th, 2014 - about 10 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 1639115439 NPPES
Other 2024710 PK

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