MEDICARE: HAPCO DRUGS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	054009014	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2020510	OTHER		PK

General Provider Information

NPI Number	:	1023190816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPCO DRUGS INCORPORATED

Provider Business Mailing Address
First Line	:	6918 W ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-2337
Country	:	US
Telephone Number	:	773-586-2233
Fax Number	:	773-586-2253

Provider Business Practice Location Address
First Line	:	6918 W ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-2337
Country	:	US
Telephone Number	:	773-586-2233
Fax Number	:	773-586-2253

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HENRY PAETSCH
Credential	:
Telephone Number	:	773-586-2233

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	04/26/2018

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