Fullerton Kedzie Professional Pharmacy is not a DME supplier for medicare equipments and products.
Fullerton Kedzie Professional Pharmacy is a Community/Retail Pharmacy in Chicago, Illinois. It is located at 3153 W Fullerton Ave, Chicago and it's customer support contact number is 773-278-6604. The authorized person of Fullerton Kedzie Professional Pharmacy is Mr. Ettore Boggetto, RPH who is Pharmacist-in-charge of the pharmacy and his contact number is 773-278-6604. Active license number of Fullerton Kedzie Professional Pharmacy is 054-007134 for Community/Retail Pharmacy in Illinois. Fullerton Kedzie Professional Pharmacy 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:
Fullerton Kedzie Professional Pharmacy 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:
Fullerton Kedzie Professional Pharmacy
Type:
Community/Retail Pharmacy
Location:
3153 W Fullerton Ave, Chicago, Illinois, 60647-2809
Phone:
773-278-6604
Fax:
773-395-4633
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:
Mr. Ettore Boggetto
Credentials:
RPH
Position:
Pharmacist-in-charge
Contact Number:
773-278-6604
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:
1083005078
NPI Enumeration Date:
11 Feb, 2015
NPI Last Update On:
11 Feb, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fullerton Kedzie Professional Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
054-007134
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
355363043002
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3153 W Fullerton Ave, Chicago, Illinois
Zip:
60647-2809
Phone Number:
773-278-6604
Fax Number:
773-395-4633
Patients can reach Fullerton Kedzie Professional Pharmacy at 3153 W Fullerton Ave, Chicago, Illinois or can call on customer care at 773-278-6604.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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