Dhs Central Outpatient Pharmacy

LBN: Illinois Department Of Human
Dhs Central Outpatient Pharmacy is an health care organization with primary practice located at 901 Southwind Dr , Springfield IL 62703-5125. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Illinois Department Of Human can be contacted via phone (217) 558-0965, or through Katauski, Mark via phone (217) 786-6982.

Contact Information

Primary practice address
901 Southwind Dr Springfield IL 62703-5125
Phone: (217) 558-0965
Fax: (217) 558-2532
Website:
Map and Directions
Authorized official contact:
Name: Katauski, Mark
Phone: (217) 786-6982

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 054014602 Illinois

Profile Details

NPI number 1255462156
LBN Legal business name Illinois Department Of Human
DBA Doing business as Dhs Central Outpatient Pharmacy
Authorized official Katauski, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Feb 11th, 2009 - about 17 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 1255462156 NPPES
Other 1480590 NCPDP PROVIDER IDENTIFICATION NUMBER

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