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Contact Information

PRO PHARMACY INC
8811 S STONY ISLAND AVE
CHICAGO, IL60617-2810
 Phone: 773-359-4132
 Fax: 773-359-4123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PRO PHARMACY INC

NPI Number 1548503048
LBN Legal business name PRO PHARMACY INC
Authorized official VIJAY DOSHETTY - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2013
Last updated 04/03/2013 - About 13 years ago
Identifiers
IL License # 054018191
Other 2139547 PK
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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