# LOCKPORT PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1538141064
- **Authorized official:** WALTER BEICH (PRESIDENT)
- **Authorized official phone:** (815) 838-3733

## Contact information

- **Practice address:** 954 E 9TH ST, LOCKPORT, IL 60441-3236
- **Practice address phone:** (815) 838-3733
- **Practice address fax:** (815) 838-1059
- **Mailing address:** 954 E 9TH ST, LOCKPORT, IL 60441-3236
- **Mailing address phone:** (815) 838-3733
- **Mailing address fax:** (815) 838-1059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054008019 | IL | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 01/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447805 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |