Provider Demographics
NPI:1063001873
Name:NATIONAL TREATMENT DELIVERY AND CARE LLC
Entity Type:Organization
Organization Name:NATIONAL TREATMENT DELIVERY AND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-649-1670
Mailing Address - Street 1:345 N CANAL ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1264
Mailing Address - Country:US
Mailing Address - Phone:877-791-2806
Mailing Address - Fax:
Practice Address - Street 1:700-710 SOUTH MILITARY TRAIL
Practice Address - Street 2:STE 710
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442
Practice Address - Country:US
Practice Address - Phone:877-791-2806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENBROOK PARENT HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-15
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy