Premier Family Pharmacy
LBN: Premier Family Pharmacy Inc
Premier Family Pharmacy is an health care organization with primary practice located at 5600 W 87Th St Ste B , Burbank IL 60459-2902. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Premier Family Pharmacy Inc can be contacted via phone (708) 952-0000, or through Joudeh, Bassel via phone (708) 952-0000.
Contact Information
Primary practice address
5600 W 87Th St Ste B
Burbank IL 60459-2902
Phone: (708) 952-0000
Fax: (708) 598-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054-018906 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1083002034 |
|---|---|
| LBN Legal business name | Premier Family Pharmacy Inc |
| DBA Doing business as | Premier Family Pharmacy |
| Authorized official | Joudeh, Bassel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 29th, 2014 |
| Last updated | Jan 23rd, 2015 - about 9 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 | 1083002034 | NPPES |
| Other | 2149504 | PK |
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