Park Court Pharmacy

LBN: Pekin Prohealth Inc
Park Court Pharmacy is an health care organization with primary practice located at 600 S 13Th St , Pekin IL 61554-4936. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pekin Prohealth Inc can be contacted via phone (309) 347-9455, or through Haley, Bob via phone (309) 347-1151.

Contact Information

Primary practice address
600 S 13Th St Pekin IL 61554-4936
Phone: (309) 347-9455
Fax: (309) 347-1886
Website:
Map and Directions
Authorized official contact:
Name: Haley, Bob
Phone: (309) 347-1151

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054009001 Illinois

Profile Details

NPI number 1790892818
LBN Legal business name Pekin Prohealth Inc
DBA Doing business as Park Court Pharmacy
Authorized official Haley, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Apr 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790892818 NPPES
Illinois Other 1453810 NCPDP

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