Organization
DME INC
Active
Other names
PILL BOX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA THANUGUNDLA (VICE-PRESIDENT)
(773) 416-3800
Entity
Organization
Contact information
Practice address
7122 S VINCENNES AVE STE G, CHICAGO, IL 60621-3672
(773) 488-1600
(773) 488-1602
Mailing address
6408 N NEWARK AVE, CHICAGO, IL 60631-1743
(773) 416-3800
(773) 728-6853
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.016714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483914
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/17/2009
Last updated
02/08/2010
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