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Contact Information

PROFESSIONAL PHARMACY INC
30 E 15TH ST
STE 204
CHICAGO HEIGHTS, IL60411-3459
 Phone: 708-754-6878
 Fax: 708-248-6170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY INC

NPI # 1720107394
LBN Legal business name PROFESSIONAL PHARMACY INC
Authorized official AMIT DHINGRA - (PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 04/16/2012 - About 14 years ago
Identifiers
IL License # 054016132
Other 1420811 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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