Organization
BOLINGBROOK PHARMACY INC
Active
Other names
BOLINGBROOK PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SINGLETARY (RPH/OWNER)
(630) 759-6464
Entity
Organization
Contact information
Practice address
402 W BOUGHTON RD, STE C, BOLINGBROOK, IL 60440-1872
(630) 759-6464
(630) 759-1780
Mailing address
402 W BOUGHTON RD, STE C, BOLINGBROOK, IL 60440-1872
(630) 759-6464
(630) 759-1780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
054005594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022733
PK
—
Enumeration date
09/12/2006
Last updated
01/18/2017
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