Ballin Pharmacy Ltc Inc

NPI 1083856561 - Pharmacy - 3336L0003X

NPI Details
NPI 1083856561
Enumeration Date 03/31/2009
Last Updated 02/08/2016
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name WM WM
Position OWNER RPH
Phone (773) 348-0027
Fax (773) 549-2630
Practice Location
3330 N LINCOLN AVE STE B
CHICAGO IL, 60657-1108, US
Phone (773) 348-0027
Fax (773) 549-2630
Business Location
3330 N LINCOLN AVE STE B
CHICAGO IL, 60657-1108, US
Phone (773) 348-0027
Fax (773) 549-2630
Toxanomy
Taxonomy Code 3336L0003X
License State Illinois
License Number 054016603
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According to our database, Ballin Pharmacy Ltc Inc NPI is 1083856561, taxonomy code is 3336L0003X and license number is 054016603, license state is located at Illinois. Ballin Pharmacy Ltc Inc physically located at 3330 N Lincoln Ave Ste B, Chicago IL, 60657-1108. NPI Number 1033115704 has the healthcare provider type.

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1083856561 NPI number is provided on an as is basis without warranty of any kind. 1083856561 is maintained by the National Plan & Provider Enumeration System. The contents of Ballin Pharmacy Ltc Inc are for informational purposes only.