Mini Thuong Xa Pharmacy
LBN: Mini Thuong Xa Pharmacy Inc
Mini Thuong Xa Pharmacy is an health care organization with primary practice located at 1069 W Argyle St , Chicago IL 60640-3707. 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.
Mini Thuong Xa Pharmacy Inc can be contacted via phone (773) 728-1007, or through Pham, Nam via phone (773) 230-2699.
Contact Information
Primary practice address
1069 W Argyle St
Chicago IL 60640-3707
Phone: (773) 728-1007
Fax: (773) 728-7267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054009321 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1659425577 |
|---|---|
| LBN Legal business name | Mini Thuong Xa Pharmacy Inc |
| DBA Doing business as | Mini Thuong Xa Pharmacy |
| Authorized official | Pham, Nam RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Dec 17th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659425577 | NPPES |
| Other | 2022077 | PK |
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