Pill Shop Pharmacy
LBN: Pill Shop Pharmacy Inc
Pill Shop Pharmacy is an health care organization with primary practice located at 3535 E New York St Ste 117 , Aurora IL 60504-4466. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pill Shop Pharmacy Inc can be contacted via phone (630) 618-2048, or through Mourani, Antoine via phone (312) 659-3588.
Contact Information
Primary practice address
3535 E New York St Ste 117
Aurora IL 60504-4466
Phone: (630) 618-2048
Fax: (630) 618-2394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054.018224 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1588906507 |
|---|---|
| LBN Legal business name | Pill Shop Pharmacy Inc |
| DBA Doing business as | Pill Shop Pharmacy |
| Authorized official | Mourani, Antoine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | May 18th, 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 | 1588906507 | NPPES |
| Other | 2139415 | PK | |
| MEDICAID | 1487873001 | PK |
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