<Unavail>

LBN: Superior Pharmacy
<Unavail> is an health care organization with primary practice located at 356 W Superior St Rm 301-302, Chicago IL 60654-3416. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Superior Pharmacy can be contacted via phone (312) 988-7300, or through Jackson, Alan via phone (773) 619-4102.

Contact Information

Primary practice address
356 W Superior St Rm 301-302 Chicago IL 60654-3416
Phone: (312) 988-7300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Alan
Phone: (773) 619-4102

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X 054016533 Illinois

Profile Details

NPI number 1942449335
LBN Legal business name Superior Pharmacy
DBA Doing business as <Unavail>
Authorized official Jackson, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2009
Last updated Feb 10th, 2009 - about 17 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 1942449335 NPPES
Other 1482912 NCPDP PROVIDER IDENTIFICATION NUMBER

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