<Unavail>

LBN: Forest Park Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 331 Salem Pl , Fairview Heights IL 62208-1340. 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. Forest Park Pharmacy Inc can be contacted via phone (618) 607-0200, or through Jahic, Amira via phone (314) 645-9990.

Contact Information

Primary practice address
331 Salem Pl Fairview Heights IL 62208-1340
Phone: (618) 607-0200
Fax: (618) 607-0201
Website:
Map and Directions
Authorized official contact:
Name: Jahic, Amira
Phone: (314) 645-9990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054020100 Illinois

Profile Details

NPI number 1952857567
LBN Legal business name Forest Park Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Jahic, Amira
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2016
Last updated Jan 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952857567 NPPES
Other 2162590 PK

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