KODO CARE INC. NPI 1922416197

NPI Information

KODO CARE, INC. is a long term care pharmacy pharmacy in Joliet, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KODO CARE, INC. NPI is 1922416197. The provider is registered as an organization entity type.
The provider Is Doing Business As Kodo Care, Inc..

The provider's business location address is:

2401 W JEFFERSON ST STE 100
JOLIET, IL
ZIP 60435-428
Phone: (815) 727-4722
Fax: (815) 727-4731

The provider's authorized official is Chad Kodiak .
The authorized official title is Pharm D/president and has the following contact phone number (815) 727-4722.

The CLIA number assigned to this NPI record is 14D2184989 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2014 and was last updated on 9/1/2023.

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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