NPI: 1821316647
Provider Name: LIFE SOURCE PHARMACY INC
Doing Business As: LIFE SOURCE PHARMACY, INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization
Specialization: Community/Retail Pharmacy
Address:
11238 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 321-2656
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LIFE SOURCE PHARMACY 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. LIFE SOURCE PHARMACY INC NPI is 1821316647. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Source Pharmacy, Inc.
The provider's business location address is:
11238 S WESTERN AVE
CHICAGO, IL
ZIP 60643-116
Phone: (773) 321-2656
Fax: (773) 941-4294
The provider's authorized official is Prashant Patel .
The authorized official title is President and has the following contact phone number (773) 321-2656.
The enumeration date for this NPI number is 5/5/2010 and was last updated on 3/22/2015.