Organization
HARBOR PHARMACY INC
Active
Parent organization
HARBOR PHARMACY INC
Other names
Harbor Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBOR PHARMACY INC
Authorized official
LOUIS M ABBOUD RPH (OWER/RPH)
(847) 872-5427
Entity
Organization
Contact information
Practice address
1707 7TH ST, SUITE 4, WINTHROP HARBOR, IL 60096-1656
(847) 872-5427
(847) 872-9645
Mailing address
1707 7TH ST, SUITE 4, WINTHROP HARBOR, IL 60096-1656
(847) 872-5427
(847) 872-9645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203-000579
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932338
BCBS ID NUMBER
IL
01
—
1428603
NCPDP
IL
Enumeration date
07/15/2005
Last updated
04/21/2008
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