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BARTLETT PHARMACY INC NPI 1518328186


NPI Information

NPI: 1518328186
Provider Name: BARTLETT PHARMACY INC

Doing Business As: BARTLETT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D2112001

Address:
300 W BARTLETT AVE
BARTLETT, IL
ZIP 60103
Phone: (630) 855-5178
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BARTLETT PHARMACY INC is a community/retail pharmacy pharmacy in Bartlett, 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. BARTLETT PHARMACY INC NPI is 1518328186. The provider is registered as an organization entity type.
The provider Is Doing Business As Bartlett Pharmacy.

The provider's business location address is:

300 W BARTLETT AVE
BARTLETT, IL
ZIP 60103-002
Phone: (630) 855-5178
Fax: (630) 855-5672

The provider's authorized official is Nahren Khoshaba .
The authorized official title is President/owner/pic and has the following contact phone number (630) 855-5178.

The CLIA number assigned to this NPI record is 14D2112001 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2016 and was last updated on 12/21/2016.


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 Pharmacy054019850ILLINOISYes

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
12159026OTHERPK
2=========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: 4/28/2024

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