Halsted Pharmacy
LBN: Halsted Pharmacy Inc
Halsted Pharmacy is an health care organization with primary practice located at 1460 N Halsted St Ste 101 , Chicago IL 60642-2620. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Halsted Pharmacy Inc can be contacted via phone (312) 624-9397, or through Kurup, Renny via phone (312) 624-9397.
Contact Information
Primary practice address
1460 N Halsted St Ste 101
Chicago IL 60642-2620
Phone: (312) 624-9397
Fax: (312) 624-8826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054-017440 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1285954545 |
|---|---|
| LBN Legal business name | Halsted Pharmacy Inc |
| DBA Doing business as | Halsted Pharmacy |
| Authorized official | Kurup, Renny PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2010 |
| Last updated | Mar 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285954545 | NPPES |
| Other | 2125361 | PK |
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