Organization
NORTHERN RX LLC
Active
Other names
Bellevue Pharmacy of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN SMITH PHARM D, (PHARMACIST IN CHARGE)
(314) 498-0504
Entity
Organization
Contact information
Practice address
2012 E. NW HWY., ARLINGTON HEIGHTS, IL 60004
(314) 498-0504
Mailing address
2012 E. NW HWY., ARLINGTON HEIGHTS, IL 60004
(314) 498-0504
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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