Vine Pharmacy Inc is a Pharmacist in Chicago, Illinois. Vine Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Vine Pharmacy Inc is 1952452591. The last update date is 2008-04-20.
Vine Pharmacy Inc's current location address is 8300 S Brandon Ave, Chicago, Illinois. You can contact this provider via phone number 7737686244. The mailing address for Vine Pharmacy Inc is 8300 S Brandon Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vine Pharmacy Inc |
|---|---|
| Address | 8300 S Brandon Ave, Chicago, Illinois |
| Phone Number | 7737686244 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Glatzhofer L Terry |
| Credentials | RPH |
| Telephone Number | 7737686244 |
NPI Number Detail
| NPI Number | 1952452591 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 8300 S Brandon Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606172655 |
| Phone Number | 7737686244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique 10-digit identifier code issued to Vine Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Vine Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1952452591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Vine Pharmacy Inc?
The Vine Pharmacy Inc is physically situated at 8300 S Brandon Ave, in the city of Chicago, state of IL, with the postal code 606172655.
What is the Vine Pharmacy Inc's area of specialization and corresponding taxonomy classification?
The Vine Pharmacy Inc's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date was the 1952452591 assigned to Vine Pharmacy Inc?
The Vine Pharmacy Inc was issued its 1952452591 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Vine Pharmacy Inc most recently updated or revised?
The information pertaining to Vine Pharmacy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.