Mediderm Inc. in Morton Grove - Community/retail Pharmacy
Mediderm Inc. - NPI 1033389374
Mediderm Inc. is a Community/retail Pharmacy in Morton Grove, Illinois. Mediderm Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Mediderm Inc. is 1033389374. The last update date is 2016-01-27.
Mediderm Inc.'s current location address is Po Box 1535, Morton Grove, Illinois. You can contact this provider via phone number 8479663192 and fax number 8479665046. The mailing address for Mediderm Inc. is Po Box 1535, Morton Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mediderm Inc. |
|---|---|
| Address | Po Box 1535, Morton Grove, Illinois |
| Phone Number | 8479663192 |
| Fax Number | 8479665046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Linton Laurel |
| Telephone Number | 8009660670 |
NPI Number Detail
| NPI Number | 1033389374 |
|---|---|
| Provider Enumeration Date | 2008-03-03 |
| Last Updated Date | 2016-01-27 |
Provider Mailing Address Detail
| Address | Po Box 1535 |
|---|---|
| City | Morton Grove |
| State | Illinois (IL) |
| Post Code | 600537535 |
| Phone Number | 8479663192 |
| Fax Number | 8479665046 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54013136 |
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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 |
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What is the Mediderm Inc.'s unique identification number?
The Mediderm Inc. has been assigned the NPI (National Provider Identifier) Number 1033389374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mediderm Inc. is physically located?
The Mediderm Inc. is physically situated at the following address: Po Box 1535, Morton Grove, IL, 600537535.
What is Mediderm Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mediderm Inc. is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033389374 to Mediderm Inc.?
The Mediderm Inc. received its 1033389374 assignment from the Centers for Medicare & Medicaid Services on 2008-03-03.
As of what date were the details related to Mediderm Inc. most recently updated or revised?
The information pertaining to Mediderm Inc., including its address, specialty, and other relevant details, was last updated or revised on 2016-01-27.
NPI Number: 1417950320
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