Dba Pharmax Pharmacy #9907

LBN: Pharmax Inc.
Dba Pharmax Pharmacy #9907 is an health care organization with primary practice located at 925 N Western Ave , West Peoria IL 61604-5129. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pharmax Inc. can be contacted via phone (309) 676-4421, or through Mcintosh, Larry T via phone (314) 954-5510.

Contact Information

Primary practice address
925 N Western Ave West Peoria IL 61604-5129
Phone: (309) 676-4421
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcintosh, Larry T
Phone: (314) 954-5510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054014717 Illinois

Profile Details

NPI number 1073625679
LBN Legal business name Pharmax Inc.
DBA Doing business as Dba Pharmax Pharmacy #9907
Authorized official Mcintosh, Larry T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - about last year

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 1073625679 NPPES
Illinois Other 1426217 NCPDP #

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