Organization · Type 2 NPI

111th Pharma - Family

Community/Retail Pharmacy · Chicago, IL

NPI number 1255415386 Active

Practice location

11101 S State St
Chicago, IL 60628-4206

Call (773) 785-5192 Map

Fax (773) 821-6970

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003X054018137 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

7 other providers at this address

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About NPI 1255415386

111th Pharma - Family's National Provider Identifier is 1255415386, issued on Oct 25, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Chicago, IL. The record was last updated on Aug 27, 2013.