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Contact Information

BIENESTAR PHARMACY III, INC
2359 S WESTERN AVE
SUITE 100
CHICAGO, IL60608-3837
 Phone: 773-869-5200
 Fax: 773-869-5222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BIENESTAR PHARMACY III, INC

NPI Number 1447783915
LBN Legal business name BIENESTAR PHARMACY III, INC
Authorized official AKIL GHOGHAWALA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2017
Last updated 04/11/2017 - About 9 years ago
Identifiers
IL License # 054020244
Other 2168803 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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