NPI 1861400905 · live from the CMS NPI Registry
Addison Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Addison, IL. National Provider Identifier 1861400905, active.
NPI record
| NPI | 1861400905 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 414 W Lake St, Addison, IL 60101 |
| Practice phone | 630-543-0988 |
| Enumerated | August 4, 2006 |
| Last updated | January 8, 2016 |
| Authorized official | Kerul Mehta, Pharmacy Manager |
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.