Organization
KIMS MODERN PHARMACY INC
Active
Other names
Modern Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAMIL KIM (MANAGER)
(773) 588-6055
Entity
Organization
Contact information
Practice address
3432 W LAWRENCE AVE, CHICAGO, IL 60625-5117
(773) 588-6055
(773) 588-5005
Mailing address
3432 W LAWRENCE AVE, CHICAGO, IL 60625-5117
(773) 588-6055
(773) 588-5005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054006861
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1440522
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
11/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us