Martin'S Super Markets Of Elkhart East Llc in Chicago - Community/retail Pharmacy
Martin'S Super Markets Of Elkhart East Llc - NPI 1366521171
Martin'S Super Markets Of Elkhart East Llc is a Community/retail Pharmacy in Chicago, Illinois. Martin'S Super Markets Of Elkhart East Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Martin'S Super Markets Of Elkhart East Llc is 1366521171. The last update date is 2023-12-07.
Martin'S Super Markets Of Elkhart East Llc's current location address is 1527 Momentum Place, Chicago, Illinois. You can contact this provider via phone number 6168788584. The mailing address for Martin'S Super Markets Of Elkhart East Llc is 1527 Momentum Place, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Martin'S Super Markets Of Elkhart East Llc |
|---|---|
| Address | 1527 Momentum Place, Chicago, Illinois |
| Phone Number | 6168788584 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Ellis Amy |
| Credentials | RPH |
| Telephone Number | 6168782848 |
NPI Number Detail
| NPI Number | 1366521171 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 1527 Momentum Place |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606895315 |
| Phone Number | 6168788584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 60005670A |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200376280A | IN | -- |
Post Comment/ Review Below
What is the Martin'S Super Markets Of Elkhart East Llc's 1366521171?
The Martin'S Super Markets Of Elkhart East Llc's NPI (National Provider Identifier) Number is 1366521171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Martin'S Super Markets Of Elkhart East Llc is physically located?
The Martin'S Super Markets Of Elkhart East Llc is situated at the following address: 1527 Momentum Place, Chicago, IL 606895315.
What is Martin'S Super Markets Of Elkhart East Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Martin'S Super Markets Of Elkhart East Llc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did the Martin'S Super Markets Of Elkhart East Llc receive the assignment of its 1366521171 from the Centers for Medicare & Medicaid Services?
The Martin'S Super Markets Of Elkhart East Llc was issued its 1366521171 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the details related to Martin'S Super Markets Of Elkhart East Llc most recently updated or revised?
The information pertaining to Martin'S Super Markets Of Elkhart East Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.
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