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VALUE VILLAGE PHARMACY NPI 1043231095


NPI Information

NPI: 1043231095
Provider Name: VALUE VILLAGE PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
618 E SIBLEY BLVD
DOLTON, IL
ZIP 60419
Phone: (708) 849-3900
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VALUE VILLAGE PHARMACY is a pharmacy in Dolton, 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. VALUE VILLAGE PHARMACY NPI is 1043231095. The provider is registered as an organization entity type.

The provider's business location address is:

618 E SIBLEY BLVD
DOLTON, IL
ZIP 60419-599
Phone: (708) 849-3900
Fax: (708) 849-1930

The provider's authorized official is Om Dhingra .
The authorized official title is President and has the following contact phone number (708) 849-3900.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 4/20/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy54011255ILLINOISYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10564820001MEDICARE NSCILLINOIS
21455840OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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