Madison Pine Pharmacy

LBN: Tvs Rx Inc
Madison Pine Pharmacy is an health care organization with primary practice located at 5470 W Madison St , Chicago IL 60644-4031. 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. Tvs Rx Inc can be contacted via phone (773) 379-7773, or through Marwaha, Tilak via phone (773) 379-7773.

Contact Information

Primary practice address
5470 W Madison St Chicago IL 60644-4031
Phone: (773) 379-7773
Fax: (773) 379-1020
Website:
Map and Directions
Authorized official contact:
Name: Marwaha, Tilak MS RPH
Phone: (773) 379-7773

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 540014342 Illinois

Profile Details

NPI number 1801883608
LBN Legal business name Tvs Rx Inc
DBA Doing business as Madison Pine Pharmacy
Authorized official Marwaha, Tilak MS RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801883608 NPPES
Other 2017030 PK

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