PROCARE 4268 YANKEE L.L.C. NPI 1992747505

NPI Information

PROCARE 4268 YANKEE, L.L.C. is a pharmacy in Chicago, 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. PROCARE 4268 YANKEE, L.L.C. NPI is 1992747505. The provider is registered as an organization entity type.
The provider Is Doing Business As Damer & Cartwright Pharmacy # 04268.

The provider's business location address is:

104 S MICHIGAN AVE
SUITE 619
CHICAGO, IL
ZIP 60603-902
Phone: (312) 252-7204
Fax: (312) 332-6140

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Manager, Pharmacy Enrollments and has the following contact phone number (401) 765-1500.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/15/2008.

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:

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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