Evergreen Pharmacy

LBN: Evergreen Park Pharmacy Inc
Evergreen Pharmacy is an health care organization with primary practice located at 2850 W 95Th St Ste 100, Evergreen Park IL 60805-2735. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evergreen Park Pharmacy Inc can be contacted via phone (708) 423-4700, or through Abdallah, Hani via phone (708) 423-4700.

Contact Information

Primary practice address
2850 W 95Th St Ste 100 Evergreen Park IL 60805-2735
Phone: (708) 423-4700
Fax: (708) 423-4720
Website:
Map and Directions
Authorized official contact:
Name: Abdallah, Hani
Phone: (708) 423-4700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054016406 Illinois

Profile Details

NPI number 1427205574
LBN Legal business name Evergreen Park Pharmacy Inc
DBA Doing business as Evergreen Pharmacy
Authorized official Abdallah, Hani
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2008
Last updated Dec 1st, 2016 - about 10 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 1427205574 NPPES
Other 2116967 PK

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