Mexicare Pharmacy Iii

LBN: Troy Pharmacy
Mexicare Pharmacy Iii is an health care organization with primary practice located at 5901 S Troy St , Chicago IL 60629-2512. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Troy Pharmacy can be contacted via phone (773) 498-4577, or through Hamdan, Jawad H via phone (773) 498-4577.

Contact Information

Primary practice address
5901 S Troy St Chicago IL 60629-2512
Phone: (773) 498-4577
Fax: (773) 498-8531
Website:
Map and Directions
Authorized official contact:
Name: Hamdan, Jawad H PHARMD
Phone: (773) 498-4577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054018217 Illinois
Suppliers / Customized Equipment 332BC3200X 054018217 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054018217 Illinois
Suppliers / Compounding Pharmacy 3336C0004X 054018217 Illinois
Suppliers / Specialty Pharmacy 3336S0011X 054018217 Illinois

Profile Details

NPI number 1356786941
LBN Legal business name Troy Pharmacy
DBA Doing business as Mexicare Pharmacy Iii
Authorized official Hamdan, Jawad H PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2013
Last updated Nov 21st, 2013 - about 12 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 1356786941 NPPES
Illinois MEDICAID 455252784001

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