Organization
ALLCARE DISCOUNT PHARMACY INC
Active
Other names
Allcare Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN ZALA (PHARMACY MANAGER)
(312) 432-4510
Entity
Organization
Contact information
Practice address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 432-4510
(773) 278-1836
Mailing address
2750 W NORTH AVE, CHICAGO, IL 60647-5247
(312) 432-4510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017654
IL
3336I0012X
Institutional Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1485502
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/13/2011
Last updated
08/29/2011
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