CHURCH ST PHARM INC NPI 1891882080

NPI Information

CHURCH ST PHARM INC is a pharmacy in Skokie, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CHURCH ST PHARM INC NPI is 1891882080. The provider is registered as an organization entity type.

The provider's business location address is:

9669 KENTON AVE
SKOKIE, IL
ZIP 60076-266
Phone: (847) 674-5882
Fax: (847) 674-9824

The provider's authorized official is Mark Jacobs .
The authorized official title is Chief Pharmacist and has the following contact phone number (847) 674-5882.

The enumeration date for this NPI number is 10/7/2006 and was last updated on 10/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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