NPI 1326457565 · live from the CMS NPI Registry
Addison Pharmacy & Medical Supply
Durable Medical Equipment & Medical Supplies in Addison, IL. National Provider Identifier 1326457565, active.
NPI record
| NPI | 1326457565 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Durable Medical Equipment & Medical Supplies 332B00000X |
| Practice location | 441 W Lake St, Addison, IL 60101 |
| Practice phone | 630-543-0988 |
| Mailing address | 414 W Lake St, Addison, IL 60101 |
| Enumerated | August 12, 2014 |
| Last updated | January 12, 2016 |
| Authorized official | Kerul Mehta, Pharmacy Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Durable Medical Equipment & Medical Supplies primary | 332B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.