Organization
PHARMACY ALTERNATIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
501 W LAKE ST, SUITE 105, ELMHURST, IL 60126-1419
(630) 516-1211
(630) 516-1224
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(630) 516-1211
(630) 516-1224
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
054017160
IL
3336L0003X
Long Term Care Pharmacy
2012006851
MO
3336L0003X
Long Term Care Pharmacy
263807
MN
3336L0003X
Long Term Care Pharmacy
Primary
4555
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120321
PK
—
Enumeration date
05/21/2009
Last updated
03/24/2017
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