111th Pharma - Family
Community/Retail Pharmacy
11101 S State St, Chicago
Illinois, 60628-4206
773-785-5192 773-821-6970
111th Pharma - Family is a Community/Retail Pharmacy in Chicago, Illinois. It is located at 11101 S State St, Chicago and it's customer support contact number is 773-785-5192. The authorized person of 111th Pharma - Family is Adele Vanjackson who is Pic of the pharmacy and his contact number is 773-785-5192. Active license number of 111th Pharma - Family is 054018137 for Community/Retail Pharmacy in Illinois.
111th Pharma - Family is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
111th Pharma - Family type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 111th Pharma - Family |
| Type: | Community/Retail Pharmacy |
| Location: | 11101 S State St, Chicago,
Illinois, 60628-4206 |
| Phone: | 773-785-5192 |
| Fax: | 773-821-6970 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Adele Vanjackson |
| Position: | Pic |
| Contact Number: | 773-785-5192 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1255415386 |
| NPI Enumeration Date: | 25 Oct, 2006 |
| NPI Last Update On: | 27 Aug, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 111th Pharma - Family are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054018137 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2141774 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11101 S State St,
Chicago, Illinois |
| Zip: | 60628-4206 |
| Phone Number: | 773-785-5192 |
| Fax Number: | 773-821-6970 |
Patients can reach 111th Pharma - Family at
11101 S State St, Chicago, Illinois or can
call on customer care at 773-785-5192.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.