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Contact Information

CARTAGENA PHARMACY INC
1505 W DEVON AVE
CHICAGO, IL60660-1313
 Phone: 773-274-7885
 Fax: 773-274-7906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CARTAGENA PHARMACY INC

NPI Number 1902934268
LBN Legal business name CARTAGENA PHARMACY INC
Authorized official RONALD KIELAR - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 02/22/2011 - About 15 years ago
Identifiers
IL License # IL05411448
Other 1463342 OTHER ID NUMBER
Other 1463342 OTHER ID NUMBER-COMMERCIAL 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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