Chicago Kedzie Drugs
LBN: Pee Dee Kay Inc
Chicago Kedzie Drugs is an health care organization with primary practice located at 4054 W North Ave , Chicago IL 60639-5223. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pee Dee Kay Inc can be contacted via phone (773) 486-2684, or through Maner, Ronak via phone (773) 486-2684.
Contact Information
Primary practice address
4054 W North Ave
Chicago IL 60639-5223
Phone: (773) 486-2684
Fax: (773) 486-2742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 54013902 | Illinois |
Profile Details
| NPI number | 1639115439 |
|---|---|
| LBN Legal business name | Pee Dee Kay Inc |
| DBA Doing business as | Chicago Kedzie Drugs |
| Authorized official | Maner, Ronak RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Mar 19th, 2014 - about 12 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 | 1639115439 | NPPES |
| Other | 2024710 | PK |
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