Organization
FOREST HILLS PHARMACY INC.
Active
Other names
Hills Drug Justice
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP L GUASTELLA (PRESIDENT/OWNER)
(708) 594-3000
Entity
Organization
Contact information
Practice address
9050 W 81ST ST, JUSTICE, IL 60458-1350
(708) 594-3000
(708) 594-7246
Mailing address
9050 W 81ST ST, JUSTICE, IL 60458-1350
(708) 594-3000
(708) 594-7246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054005710
IL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980650001
MEDICARE
IL
01
—
1430507
NABP
IL
Enumeration date
09/20/2006
Last updated
10/24/2019
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