Church St Pharm Inc in Skokie - Community/retail Pharmacy

Church St Pharm Inc - NPI 1891882080

Church St Pharm Inc is a Community/retail Pharmacy in Skokie, Illinois. Church St Pharm Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Church St Pharm Inc is 1891882080. The last update date is 2009-10-28.

Church St Pharm Inc's current location address is 9669 Kenton Ave, Skokie, Illinois. You can contact this provider via phone number 8476745882 and fax number 8476749824. The mailing address for Church St Pharm Inc is 9669 Kenton Ave, Skokie, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Church St Pharm Inc
Address 9669 Kenton Ave, Skokie, Illinois
Phone Number 8476745882
Fax Number 8476749824
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF PHAR
Authorized Official Name Jacobs Mark
Credentials RPH
Telephone Number 8476745882

NPI Number Detail

NPI Number 1891882080
Provider Enumeration Date 2006-10-07
Last Updated Date 2009-10-28

Provider Mailing Address Detail

Address 9669 Kenton Ave
City Skokie
State Illinois (IL)
Post Code 600761266
Phone Number 8476745882
Fax Number 8476749824

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
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
362405956001 IL --
1456284 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Church St Pharm Inc

What is the unique 10-digit identification code assigned to Church St Pharm Inc by the Centers for Medicare & Medicaid Services?

The Church St Pharm Inc has been issued the NPI (National Provider Identifier) 1891882080, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Church St Pharm Inc?

The Church St Pharm Inc is physically situated at 9669 Kenton Ave, in the city of Skokie, state of IL, with the postal code 600761266.

What is Church St Pharm Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Church St Pharm 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 assign the 1891882080 to Church St Pharm Inc?

The Centers for Medicare & Medicaid Services assigned the 1891882080 to Church St Pharm Inc on 2006-10-07.

When was the information pertaining to Church St Pharm Inc most recently updated or revised?

The details related to Church St Pharm Inc, including its address, specialty, and other relevant information, were last updated or revised on 2009-10-28.

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