University Of Illinois Taylor Street Eei Pharmacy

LBN: University Of Illinois Scb Pharmacy
University Of Illinois Taylor Street Eei Pharmacy is an health care organization with primary practice located at 1009 S Wood St Room 1025 Mc 874, Chicago IL 60612. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. University Of Illinois Scb Pharmacy can be contacted via phone (312) 996-6540, or through Hayes, Kristine via phone (312) 355-2035.

Contact Information

Primary practice address
1009 S Wood St Room 1025 Mc 874 Chicago IL 60612
Fax: (312) 276-4800
Website:
Authorized official contact:
Name: Hayes, Kristine

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 054.017117 Illinois

Profile Details

NPI number 1336289016
LBN Legal business name University Of Illinois Scb Pharmacy
DBA Doing business as University Of Illinois Taylor Street Eei Pharmacy
Authorized official Hayes, Kristine
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Apr 20th, 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 1336289016 NPPES
Illinois Other 054-017117 STATE PHARMACY LICENSE
Illinois Other 032-005937 STATE PHARMACY LICENSE
Illinois Other 1464205 STATE PHARMACY LICENSE

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