Provider Demographics
NPI:1235419490
Name:PHARMACY HEARING CENTERS
Entity Type:Organization
Organization Name:PHARMACY HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-818-3155
Mailing Address - Street 1:875 N MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:417-818-3155
Mailing Address - Fax:
Practice Address - Street 1:875 N MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:417-818-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101001742332S00000X
MD02658332S00000X
NC1376332S00000X
NC1346332S00000X
IL2917332S00000X
AZHAD4446332S00000X
TX50383332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment