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.
Organization
MINI THUONG XA PHARMACY INC
Active
Organization
MINI THUONG XA PHARMACY INC
Active
Other names
MINI THUONG XA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAM PHAM RPH (PRESIDENT)
(773) 230-2699
Entity
Organization
Contact information
Practice address
1069 W ARGYLE ST, CHICAGO, IL 60640-3707
(773) 728-1007
(773) 728-7267
Mailing address
PO BOX 408975, CHICAGO, IL 60640-0023
(773) 728-1007
(773) 728-7267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054009321
IL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022077
PK
—
Enumeration date
01/22/2007
Last updated
12/17/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers