Presence Nazareth Family Center Pharmacy

LBN: Presence Chicago Hospitals Network
Presence Nazareth Family Center Pharmacy is an health care organization with primary practice located at 1127 N Oakley Blvd Ste 137, Chicago IL 60622-3507. 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. Presence Chicago Hospitals Network can be contacted via phone (312) 770-3444, or through San Pedro, Brian via phone (312) 770-3444.

Contact Information

Primary practice address
1127 N Oakley Blvd Ste 137 Chicago IL 60622-3507
Phone: (312) 770-3444
Fax: (312) 770-3541
Website:
Map and Directions
Authorized official contact:
Name: San Pedro, Brian PHARMD
Phone: (312) 770-3444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.019887 Illinois

Profile Details

NPI number 1841305877
LBN Legal business name Presence Chicago Hospitals Network
DBA Doing business as Presence Nazareth Family Center Pharmacy
Authorized official San Pedro, Brian PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 24th, 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 1841305877 NPPES
Illinois MEDICAID 362171079013
Illinois Other 2022429

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