Kodo Pharmacy, Inc.

LBN: Kodo Pharmacy Inc
Kodo Pharmacy, Inc. is an health care organization with primary practice located at 1522 E Washington St , Joliet IL 60433-1365. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kodo Pharmacy Inc can be contacted via phone (815) 727-4721, or through Kodiak, Chad via phone (815) 727-4721.

Contact Information

Primary practice address
1522 E Washington St Joliet IL 60433-1365
Phone: (815) 727-4721
Fax: (815) 727-7839
Website:
Map and Directions
Authorized official contact:
Name: Kodiak, Chad
Phone: (815) 727-4721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054017695 Illinois
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1215223755
LBN Legal business name Kodo Pharmacy Inc
DBA Doing business as Kodo Pharmacy, Inc.
Authorized official Kodiak, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2011
Last updated Sep 27th, 2011 - about 15 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 1215223755 NPPES
Other 1485716 NCPDP PROVIDER IDENTIFICATION NUMBER

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