Provider Demographics
NPI:1912447467
Name:SOMNATH DRUGS & MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:SOMNATH DRUGS & MEDICAL SUPPLIES LLC
Other - Org Name:THE HALLMARK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIPALI
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:630-855-4100
Mailing Address - Street 1:878 S IL ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-1633
Mailing Address - Country:US
Mailing Address - Phone:630-855-4100
Mailing Address - Fax:630-855-4102
Practice Address - Street 1:878 S IL ROUTE 59
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-1633
Practice Address - Country:US
Practice Address - Phone:630-855-4100
Practice Address - Fax:630-855-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054.020161332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies