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:
Map and Directions
Authorized official contact:
Name: Kurup, Renny PHARMD
Phone: (312) 624-9397

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285954545 NPPES
Other 2125361 PK

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