<Unavail>
LBN: Bienestar Pharmacy Iii, Inc
<Unavail> is an health care organization with primary practice located at 2359 S Western Ave Suite 100, Chicago IL 60608-3837. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Bienestar Pharmacy Iii, Inc can be contacted via phone (773) 869-5200, or through Ghoghawala, Akil via phone (773) 924-6000.
Contact Information
Primary practice address
2359 S Western Ave Suite 100
Chicago IL 60608-3837
Phone: (773) 869-5200
Fax: (773) 869-5222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 054020244 | Illinois |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1447783915 |
|---|---|
| LBN Legal business name | Bienestar Pharmacy Iii, Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Ghoghawala, Akil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2017 |
| Last updated | Apr 11th, 2017 - 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 | 1447783915 | NPPES |
| Other | 2168803 | PK |
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