Prevos Family Markets, Inc in Chicago - Community/retail Pharmacy

Prevos Family Markets, Inc - NPI 1114086113

Prevos Family Markets, Inc is a Community/retail Pharmacy in Chicago, Illinois. Prevos Family Markets, Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Prevos Family Markets, Inc is 1114086113. The last update date is 2023-12-07.

Prevos Family Markets, Inc's current location address is 1527 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6168788584. The mailing address for Prevos Family Markets, Inc is 1527 Momentum Pl, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prevos Family Markets, Inc
Address 1527 Momentum Pl, 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 1114086113
Provider Enumeration Date 2006-12-06
Last Updated Date 2023-12-07

Provider Mailing Address Detail

Address 1527 Momentum Pl
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 5301008526
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
2369038 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Prevos Family Markets, Inc

What is the unique identifier code issued to Prevos Family Markets, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Prevos Family Markets, Inc has been assigned the NPI (National Provider Identifier) 1114086113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Prevos Family Markets, Inc is physically located?

The Prevos Family Markets, Inc is situated at the following address: 1527 Momentum Pl, Chicago, IL 606895315.

What is Prevos Family Markets, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Prevos Family Markets, Inc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.

On what date was the 1114086113 assigned to Prevos Family Markets, Inc?

The Prevos Family Markets, Inc was issued its 1114086113 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Prevos Family Markets, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Prevos Family Markets, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-12-07.

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