NPI 1104217389 · live from the CMS NPI Registry
Addison Pharmacy, INC
Pharmacy, Community/Retail Pharmacy in Bellwood, IL. National Provider Identifier 1104217389, active.
NPI record
| NPI | 1104217389 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4009 Warren Ave Ste 100, Bellwood, IL 60104 |
| Practice phone | 708-897-2424 |
| Enumerated | February 10, 2015 |
| Last updated | February 9, 2021 |
| Authorized official | Kerul Mehta, Owner |
| Other names | Westchester Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.