Organization
BARTLETT PHARMACY INC
Active
Other names
Bartlett Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAHREN KHOSHABA PHARMD (PRESIDENT/OWNER/PIC)
(630) 855-5178
Entity
Organization
Contact information
Practice address
300 W BARTLETT AVE, BARTLETT, IL 60103-4002
(630) 855-5178
(630) 855-5672
Mailing address
300 W BARTLETT AVE, BARTLETT, IL 60103-4002
(630) 855-5178
(630) 855-5672
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054019850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159026
PK
—
Enumeration date
03/10/2016
Last updated
05/14/2025
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