200 Pharmacy Inc in Chicago - Compounding Pharmacy

200 Pharmacy Inc - NPI 1285635094

200 Pharmacy Inc is a Compounding Pharmacy in Chicago, Illinois. 200 Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for 200 Pharmacy Inc is 1285635094. The last update date is 2011-05-23.

200 Pharmacy Inc's current location address is 9133 S Stony Island Ave, Chicago, Illinois. You can contact this provider via phone number 7733744550 and fax number 7733744660. The mailing address for 200 Pharmacy Inc is 9133 S Stony Island Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization 200 Pharmacy Inc
Address 9133 S Stony Island Ave, Chicago, Illinois
Phone Number 7733744550
Fax Number 7733744660
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REG PHARMA
Authorized Official Name White Sherman
Credentials RPH
Telephone Number 7733744550

NPI Number Detail

NPI Number 1285635094
Provider Enumeration Date 2005-08-02
Last Updated Date 2011-05-23

Provider Mailing Address Detail

Address 9133 S Stony Island Ave
City Chicago
State Illinois (IL)
Post Code 606173512
Phone Number 7733744550
Fax Number 7733744660

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
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
1445178 OTHER ID NUMBER

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FAQs about 200 Pharmacy Inc

What is the unique identification code assigned to 200 Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The 200 Pharmacy Inc has been issued the NPI (National Provider Identifier) 1285635094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where 200 Pharmacy Inc is physically located?

The 200 Pharmacy Inc is physically situated at the following address: 9133 S Stony Island Ave, Chicago, IL, 606173512.

What is the area of specialization for 200 Pharmacy Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for 200 Pharmacy Inc is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0004X.

On what date did the 200 Pharmacy Inc receive the assignment of its 1285635094 from the Centers for Medicare & Medicaid Services?

The 200 Pharmacy Inc was issued its 1285635094 by the Centers for Medicare & Medicaid Services on 2005-08-02.

As of what date were the details related to 200 Pharmacy Inc most recently updated or revised?

The information pertaining to 200 Pharmacy Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-23.

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