# HT OUTPATIENT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HT Outpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154570208
- **Authorized official:** NEETA TALWAR (PRESIDENT)
- **Authorized official phone:** (773) 265-3724

## Contact information

- **Practice address:** 3435 W VANBUREN ST, CHICAGO, IL 60624
- **Practice address phone:** (773) 265-3585
- **Mailing address:** 51 W STEVENSON DR, GLENDALE HTS, IL 60139-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054016556 | IL | Yes |

## Other

- **Enumeration date:** 09/13/2008
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1482619 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |