Medcentre Pharmacy

LBN: Medcentre Pharmacy
Medcentre Pharmacy is an health care organization with primary practice located at 555 W Court St , Kankakee IL 60901-3664. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Medcentre Pharmacy can be contacted via phone (815) 937-3540, or through Sula, David via phone (815) 937-3540.

Contact Information

Primary practice address
555 W Court St Kankakee IL 60901-3664
Phone: (815) 937-3540
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sula, David RPH
Phone: (815) 937-3540

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 54010070 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881791622
LBN Legal business name Medcentre Pharmacy
DBA Doing business as
Authorized official Sula, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1881791622 NPPES
Other 1453872 OTHER ID NUMBER-COMMERCIAL NUMBER

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