Organization
BSD RX INC
Active
Other names
HIGZE Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR DIAB (PRESIDENT)
(630) 880-0999
Entity
Organization
Contact information
Practice address
222 COLORADO AVE, FRANKFORT, IL 60423-1334
(815) 469-8111
(815) 277-2969
Mailing address
426 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-2248
(847) 362-2005
(847) 362-1304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-018883
IL
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150095
PK
—
Enumeration date
01/28/2015
Last updated
02/25/2015
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