Organization
HEALTH MART PHARMACY INC
Active
Other names
HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KASS (PIC)
(847) 419-0202
Entity
Organization
Contact information
Practice address
81 S MILWAUKEE AVE, WHEELING, IL 60090-3120
(847) 419-0202
(847) 419-0222
Mailing address
81 S MILWAUKEE AVE, WHEELING, IL 60090-3120
(847) 419-0202
(847) 419-0222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054013667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467819
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/17/2006
Last updated
08/30/2011
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