# DENRICH CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WESTMONT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215973128
- **Authorized official:** DENNIS JORDAN (PRESIDENT, RESIDENT PHARMACIST)
- **Authorized official phone:** (630) 969-2043

## Contact information

- **Practice address:** 2 N CASS AVE, WESTMONT, IL 60559-1602
- **Practice address phone:** (630) 969-2043
- **Practice address fax:** (630) 969-2271
- **Mailing address:** 2 N CASS AVE, WESTMONT, IL 60559-1602
- **Mailing address phone:** (630) 969-2043
- **Mailing address fax:** (630) 969-2271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054004627 | IL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 12/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1428374 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |