<Unavail>

LBN: Hac 4 Llc
<Unavail> is an health care organization with primary practice located at 217 S Main St , Farmer City IL 61842-1455. 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. Hac 4 Llc can be contacted via phone (309) 928-2491, or through Holtz, Norma via phone (309) 928-2491.

Contact Information

Primary practice address
217 S Main St Farmer City IL 61842-1455
Phone: (309) 928-2491
Fax: (309) 928-2493
Website:
Map and Directions
Authorized official contact:
Name: Holtz, Norma
Phone: (309) 928-2491

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054019646 Illinois

Profile Details

NPI number 1265897409
LBN Legal business name Hac 4 Llc
DBA Doing business as <Unavail>
Authorized official Holtz, Norma
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2015
Last updated Apr 4th, 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 1265897409 NPPES
Other 2155868 PK

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