National Provider Identifier Database

CARTAGENA PHARMACY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

CARTAGENA PHARMACY INC
1505 W DEVON AVE
CHICAGO, IL60660-1313
Phone: 773-274-7885
Fax: 773-274-7906
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

NPI Profile & details for CARTAGENA PHARMACY INC

NPI Number 1902934268
Legal business name
LBN
CARTAGENA PHARMACY INC
Authorized official RONALD KIELAR - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 02/22/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: IL05411448
  • Other: 1463342 OTHER ID NUMBER
  • Other: 1463342 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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