Provider Demographics
NPI:1679742746
Name:DENRICH CORPORATION
Entity Type:Organization
Organization Name:DENRICH CORPORATION
Other - Org Name:WESTMONT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING ASSOCIATE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-969-2043
Mailing Address - Street 1:2 N CASS AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1602
Mailing Address - Country:US
Mailing Address - Phone:630-969-2043
Mailing Address - Fax:630-969-2271
Practice Address - Street 1:2 N CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1602
Practice Address - Country:US
Practice Address - Phone:630-969-2043
Practice Address - Fax:630-969-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0375720001Medicare NSC