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Contact Information

B & G HEINZ PHARMACY, INC
559 W 103RD STREET
CHICAGO, IL60628
 Phone: 773-238-8680
 Fax: 773-238-8634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for B & G HEINZ PHARMACY, INC

NPI # 1215149703
LBN Legal business name B & G HEINZ PHARMACY, INC
Authorized official FRED TRIMUEL - (CHIEF PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL License # 0054003648
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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