MEDICARE: BENEFICIAL PHARMACY, INC.

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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1578837241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENEFICIAL PHARMACY, INC.

Provider Business Mailing Address
First Line	:	131 AMBER CT
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-5108
Country	:	US
Telephone Number	:	630-842-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 AMBER CT
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-5108
Country	:	US
Telephone Number	:	630-842-0900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NABILA S BARDAY
Credential	:
Telephone Number	:	630-842-0900

Provider Enumeration Date	:	02/28/2012
Last Update Date	:	02/28/2012

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