Provider Demographics
NPI:1841014040
Name:BASINGER'S PHARMACY, INC
Entity type:Organization
Organization Name:BASINGER'S PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-325-5750
Mailing Address - Street 1:2219 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-6511
Mailing Address - Country:US
Mailing Address - Phone:815-725-1102
Mailing Address - Fax:815-725-1844
Practice Address - Street 1:2219 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6511
Practice Address - Country:US
Practice Address - Phone:815-725-1102
Practice Address - Fax:815-725-1844
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BASINGER'S PHARMACY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy