Organization
BRAUN DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY N. PINE R.PH. (PRESIDENT)
(773) 549-0634
Entity
Organization
Contact information
Practice address
2075 N LINCOLN AVE, CHICAGO, IL 60614-4536
(773) 549-0634
(773) 549-2753
Mailing address
2075 N LINCOLN AVE, CHICAGO, IL 60614-4536
(773) 549-0634
(773) 549-2753
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54009996
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1455814
NCPDP
IL
Enumeration date
09/04/2006
Last updated
08/22/2020
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