Organization
NEIGHBORHOOD PHARMACY INC
Active
Other names
NEIGHBORHOOD PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST RIEDL B.S. (PHARMACIST IN CHARGE)
(708) 389-5300
Entity
Organization
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 389-5309
Mailing address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
(708) 389-5309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016764
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1484118
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/10/2010
Last updated
04/06/2010
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