East Goshen Pharmacy, Inc. in Chicago - Compounding Pharmacy
East Goshen Pharmacy, Inc. - NPI 1679531693
East Goshen Pharmacy, Inc. is a Compounding Pharmacy in Chicago, Illinois. East Goshen Pharmacy, Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for East Goshen Pharmacy, Inc. is 1679531693. The last update date is 2023-10-27.
East Goshen Pharmacy, Inc.'s current location address is 4222 Paysphere Circle, Chicago, Illinois. You can contact this provider via phone number 8008796137. The mailing address for East Goshen Pharmacy, Inc. is 4222 Paysphere Circle, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Goshen Pharmacy, Inc. |
|---|---|
| Address | 4222 Paysphere Circle, Chicago, Illinois |
| Phone Number | 8008796137 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shapiro Michael |
| Telephone Number | 8008796137 |
NPI Number Detail
| NPI Number | 1679531693 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2023-10-27 |
Provider Mailing Address Detail
| Address | 4222 Paysphere Circle |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606740042 |
| Phone Number | 8008796137 |
| Fax Number |
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 |
|---|---|---|---|
| 76357 | DE | -- | |
| 28RO00043200 | NJ | LICENSE | |
| A9-0000919 | DE | LICENSE | |
| 824982 | PA | -- | |
| PP413617L | PA | LICENSE | |
| NRX1000210 | DC | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to East Goshen Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The East Goshen Pharmacy, Inc. has been assigned the NPI (National Provider Identifier) 1679531693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where East Goshen Pharmacy, Inc. is located?
The East Goshen Pharmacy, Inc. is situated at the following address: 4222 Paysphere Circle, Chicago, IL, 606740042.
What is East Goshen Pharmacy, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The East Goshen Pharmacy, Inc.'s area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.
On what date did the East Goshen Pharmacy, Inc. receive the assignment of its 1679531693 from the Centers for Medicare & Medicaid Services?
The East Goshen Pharmacy, Inc. was issued its 1679531693 by the Centers for Medicare & Medicaid Services on 2006-05-01.
As of what date were the details pertaining to East Goshen Pharmacy, Inc. last refreshed?
The information related to the East Goshen Pharmacy, Inc., including its address, specialty, and other relevant details, was last updated on 2023-10-27.
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