Green Tree Pharmacy

LBN: Green Tree Pharmacy, Inc.
Green Tree Pharmacy is an health care organization with primary practice located at 1305 Carolyn Dr , Minonk IL 61760. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Green Tree Pharmacy, Inc. can be contacted via phone (309) 432-3451, or through Ater, Craig L via phone (309) 828-4361.

Contact Information

Primary practice address
1305 Carolyn Dr Minonk IL 61760
Phone: (309) 432-3451
Fax: (309) 432-2575
Website:
Map and Directions
Authorized official contact:
Name: Ater, Craig L
Phone: (309) 828-4361

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 058-013453 Illinois
Suppliers / Pharmacy 333600000X 032-006965 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X 058-013453 Illinois
Suppliers / Specialty Pharmacy 3336S0011X 058-013453 Illinois

Profile Details

NPI number 1245221068
LBN Legal business name Green Tree Pharmacy, Inc.
DBA Doing business as Green Tree Pharmacy
Authorized official Ater, Craig L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Jun 23rd, 2012 - about 14 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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