Organization
BOLINGBROOK COMPOUNDING PHARMACY
Active
Other names
Bolingbrook Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SINGLETARY (OWNER/PHARMACIST)
(630) 759-6464
Entity
Organization
Contact information
Practice address
402 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440-1985
(630) 759-6464
(630) 759-1780
Mailing address
402 W BOUGHTON RD STE C, BOLINGBROOK, IL 60440-1985
(630) 759-6464
(630) 759-1780
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
054005594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144727
PK
—
Enumeration date
04/01/2014
Last updated
04/01/2014
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