Life Source Pharmacy, Inc is not a DME supplier for medicare equipments and products.
Life Source Pharmacy, Inc is a Community/Retail Pharmacy in Chicago, Illinois. This pharmacy is owned and operated by Life Source Pharmacy Inc. It is located at 11238 S Western Ave, Chicago and it's customer support contact number is 773-321-2656. The authorized person of Life Source Pharmacy, Inc is Prashant Patel who is President of the pharmacy and his contact number is 773-321-2656. Active license number of Life Source Pharmacy, Inc is 054-017353 for Community/Retail Pharmacy in Illinois. Life Source Pharmacy, Inc 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:
Life Source Pharmacy, Inc 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:
Life Source Pharmacy, Inc
Type:
Community/Retail Pharmacy
Location:
11238 S Western Ave, Chicago, Illinois, 60643-4116
Phone:
773-321-2656
Fax:
773-941-4294
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:
Prashant Patel
Position:
President
Contact Number:
773-321-2656
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:
1821316647
NPI Enumeration Date:
05 May, 2010
NPI Last Update On:
22 Mar, 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 Life Source Pharmacy, Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
054-017353
Illinois
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
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
2124980
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:
5 Osprey Ct, Streamwood, Illinois
Zip:
60107-2813
Phone Number:
773-321-2656
Fax Number:
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Patients can reach Life Source Pharmacy, Inc at 11238 S Western Ave, Chicago, Illinois or can call on customer care at 773-321-2656.
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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