Bolingbrook Pharmacy Inc in Bolingbrook - Compounding Pharmacy
Bolingbrook Pharmacy Inc - NPI 1912001967
Bolingbrook Pharmacy Inc is a Compounding Pharmacy in Bolingbrook, Illinois. Bolingbrook Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Bolingbrook Pharmacy Inc is 1912001967. The last update date is 2017-01-18.
Bolingbrook Pharmacy Inc's current location address is 402 W Boughton Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6307596464 and fax number 6307591780. The mailing address for Bolingbrook Pharmacy Inc is 402 W Boughton Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bolingbrook Pharmacy Inc |
|---|---|
| Address | 402 W Boughton Rd, Bolingbrook, Illinois |
| Phone Number | 6307596464 |
| Fax Number | 6307591780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RPH/OWNER |
|---|---|
| Authorized Official Name | Singletary John |
| Telephone Number | 6307596464 |
NPI Number Detail
| NPI Number | 1912001967 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | 402 W Boughton Rd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604401872 |
| Phone Number | 6307596464 |
| Fax Number | 6307591780 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 54005594 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2022733 | PK |
Post Comment/ Review Below
What is the Bolingbrook Pharmacy Inc's 1912001967?
The Bolingbrook Pharmacy Inc's NPI (National Provider Identifier) Number is 1912001967. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bolingbrook Pharmacy Inc's facilities are situated?
The facilities of Bolingbrook Pharmacy Inc are physically located at the following address: 402 W Boughton Rd, Bolingbrook, IL, 604401872.
What is Bolingbrook Pharmacy Inc's area of expertise and its corresponding taxonomy classification?
The Bolingbrook Pharmacy Inc's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
When did Bolingbrook Pharmacy Inc receive its 1912001967 assignment?
The Bolingbrook Pharmacy Inc was assigned its 1912001967 on 2006-09-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bolingbrook Pharmacy Inc last refreshed?
The information related to the Bolingbrook Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2017-01-18.
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