<Unavail>

LBN: Third Coast Rx Llc
<Unavail> is an health care organization with primary practice located at 5501 S Halsted St Ste 147, Chicago IL 60621-2229. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Third Coast Rx Llc can be contacted via phone (773) 359-8570, or through Patel, Akshar via phone (773) 359-8570.

Contact Information

Primary practice address
5501 S Halsted St Ste 147 Chicago IL 60621-2229
Fax: (773) 359-8571
Website:
Authorized official contact:
Name: Patel, Akshar

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054020787 Illinois
Suppliers / Specialty Pharmacy 3336S0011X 054020787 Illinois

Profile Details

NPI number 1861985194
LBN Legal business name Third Coast Rx Llc
DBA Doing business as <Unavail>
Authorized official Patel, Akshar
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2018
Last updated Jul 31st, 2026 - about 3 months 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 1861985194 NPPES
Indiana MEDICAID 300134199
Indiana MEDICAID 600175934

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