Organization
HT OUTPATIENT PHARMACY
Active
Other names
HT Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEETA TALWAR (PRESIDENT)
(773) 265-3724
Entity
Organization
Contact information
Practice address
3435 W VANBUREN ST, CHICAGO, IL 60624
(773) 265-3585
Mailing address
51 W STEVENSON DR, GLENDALE HTS, IL 60139-2456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482619
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/13/2008
Last updated
11/11/2008
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