Provider Demographics
NPI:1750051546
Name:SAPPHIRE DISTRIBUTION LLC
Entity Type:Organization
Organization Name:SAPPHIRE DISTRIBUTION LLC
Other - Org Name:SAPPHIRE PATIENT CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOWDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-877-5132
Mailing Address - Street 1:744 N WELLS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-3521
Mailing Address - Country:US
Mailing Address - Phone:312-877-5132
Mailing Address - Fax:
Practice Address - Street 1:744 N WELLS ST STE 101
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-3521
Practice Address - Country:US
Practice Address - Phone:260-425-0253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies