Provider Demographics
NPI:1326042870
Name:ABBVIE ENDOCRINOLOGY INC
Entity Type:Organization
Organization Name:ABBVIE ENDOCRINOLOGY INC
Other - Org Name:PHARMACY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MUI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:847-938-8134
Mailing Address - Street 1:1 N WAUKEGAN RD
Mailing Address - Street 2:AP5 NE
Mailing Address - City:NORTH CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60064-1802
Mailing Address - Country:US
Mailing Address - Phone:888-857-0668
Mailing Address - Fax:847-937-3216
Practice Address - Street 1:1 N WAUKEGAN RD
Practice Address - Street 2:AP5 NE
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-1802
Practice Address - Country:US
Practice Address - Phone:888-857-0668
Practice Address - Fax:847-937-3216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0003X, 3336H0001X
IL0540164583336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2023484OtherPK