Organization
ASCENSION PHARMACY SERVICES, LLC.
Active
Other names
Ascension Rx 2700
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR DEM AUF DEM GRABEN RPH (PHARMACY MANAGER)
(847) 581-0800
Entity
Organization
Contact information
Practice address
100 N RIVER RD STE G122, DES PLAINES, IL 60016-1209
(847) 581-0800
(847) 410-4909
Mailing address
100 N RIVER RD STE G122, DES PLAINES, IL 60016-1209
(847) 581-0800
(847) 410-4910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
054017075
IL
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024645
PK
—
05
—
237061646021
—
IL
Enumeration date
10/02/2006
Last updated
04/18/2022
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