Kingsway Pharmacy

LBN: Kingsway Ent. Inc
Kingsway Pharmacy is an health care organization with primary practice located at 1677 Montgomery Rd Suite 110-112, Aurora IL 60504-8802. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kingsway Ent. Inc can be contacted via phone (630) 236-9502, or through Nimako-Boateng, Richmond G via phone (630) 236-9502.

Contact Information

Primary practice address
1677 Montgomery Rd Suite 110-112 Aurora IL 60504-8802
Phone: (630) 236-9502
Fax: (630) 236-9512
Website:
Map and Directions
Authorized official contact:
Name: Nimako-Boateng, Richmond G PHARM.D, RPH.
Phone: (630) 236-9502

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054015027 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054015027 Illinois
Suppliers / Compounding Pharmacy 3336C0004X 054015027 Illinois
Suppliers / Prosthetic/Orthotic Supplier 335E00000X Illinois

Profile Details

NPI number 1639232390
LBN Legal business name Kingsway Ent. Inc
DBA Doing business as Kingsway Pharmacy
Authorized official Nimako-Boateng, Richmond G PHARM.D, RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2006
Last updated Sep 9th, 2010 - about 16 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 1639232390 NPPES
Other 1476426 NCPDP

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