111th Pharma Family is not a DME supplier for medicare equipments and products.
111th Pharma Family is a Community/Retail Pharmacy in Chicago, Illinois. This pharmacy is owned and operated by 111th Pharma - Family. 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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