Provider Demographics
NPI:1417940362
Name:CARNEGIE-SARGENT'S PHARMACY INC
Entity Type:Organization
Organization Name:CARNEGIE-SARGENT'S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:PALEY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:312-280-1220
Mailing Address - Street 1:845 N MICHIGAN AVE
Mailing Address - Street 2:902 WEST
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2252
Mailing Address - Country:US
Mailing Address - Phone:312-280-1220
Mailing Address - Fax:312-280-7794
Practice Address - Street 1:845 N MICHIGAN AVE
Practice Address - Street 2:902 WEST
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2252
Practice Address - Country:US
Practice Address - Phone:312-280-1220
Practice Address - Fax:312-280-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty