200 Pharmacy INC

NPI #1285635094 in Chicago, Illinois

Provider Information

NPI Number
1285635094
Entity Type
Organization
Organization Name
200 Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 2, 2005
Last Updated
May 23, 2011

Practice Location

Address
9133 S STONY ISLAND AVE
ZIP Code
60617-3512
Phone
(773) 374-4550

Authorized Official

Name
SHERMAN WHITE, RPH
Title
REG PHARMACIST AND VP
Phone
(773) 374-4550

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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