Organization
PHARMACY HEALTHCARE SOLUTIONS LTD
Active
Other names
Allstate Good Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY FORREST RPH (VICE PRESIDENT)
(901) 409-7091
Entity
Organization
Contact information
Practice address
2775 SANDERS RD STE C1, NORTHBROOK, IL 60062-6110
(847) 402-9400
(847) 402-9420
Mailing address
2775 SANDERS RD STE C1, NORTHBROOK, IL 60062-6110
(847) 402-9400
(847) 402-9420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017829
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133592
PK
—
Enumeration date
01/16/2012
Last updated
06/17/2016
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