Pharmblue Illinois Llc
LBN: Pharmblue Illinois Llc
Pharmblue Illinois Llc is an health care organization with primary practice located at 2960 Chartres St Ste 100 , La Salle IL 61301-1097. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmblue Illinois Llc can be contacted via phone (724) 779-4720, or through Nelson, Mike via phone (724) 779-4720.
Contact Information
Primary practice address
2960 Chartres St Ste 100
La Salle IL 61301-1097
Phone: (724) 779-4720
Fax: (844) 873-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 265190 | Minnesota |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054-019566 | Illinois |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1699146720 |
|---|---|
| LBN Legal business name | Pharmblue Illinois Llc |
| DBA Doing business as | Pharmblue Illinois Llc |
| Authorized official | Nelson, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 15th, 2015 |
| Last updated | Mar 24th, 2017 - about 9 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 | 1699146720 | NPPES |
| Other | 2154972 | PK | |
| MEDICAID | 454805748001 | PK |
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