Provider Type Icon

BOLLING PRESCRIPTION LAB INC NPI 1346255957


NPI Information

NPI: 1346255957
Provider Name: BOLLING PRESCRIPTION LAB INC

Doing Business As: ROSELAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11254 S MICHIGAN AVE
CHICAGO, IL
ZIP 60628
Phone: (773) 568-1050
Get Directions

BOLLING PRESCRIPTION LAB INC is a community/retail pharmacy pharmacy in Chicago, IL. The provider 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. BOLLING PRESCRIPTION LAB INC NPI is 1346255957. The provider is registered as an organization entity type.
The provider Is Doing Business As Roseland Pharmacy.

The provider's business location address is:

11254 S MICHIGAN AVE
CHICAGO, IL
ZIP 60628-941
Phone: (773) 568-1050
Fax: (773) 568-1051

The provider's authorized official is Howard Bolling .
The authorized official title is Owner and has the following contact phone number (773) 568-1050.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 10/8/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy054005174ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDILLINOIS
21429693OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
36062801MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.