Provider Demographics
NPI:1508640152
Name:HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:HEALTH PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:JAMALEDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-216-9131
Mailing Address - Street 1:1602 W 59TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60636-1735
Mailing Address - Country:US
Mailing Address - Phone:773-498-3068
Mailing Address - Fax:908-605-4974
Practice Address - Street 1:1602 W 59TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-1735
Practice Address - Country:US
Practice Address - Phone:773-498-3068
Practice Address - Fax:908-605-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy