Healthcare Provider Details
I. General information
NPI: 1942926787
Provider Name (Legal Business Name): OGDEN PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2040 OGDEN AVE STE 117
AURORA IL
60504-7205
US
IV. Provider business mailing address
2040 OGDEN AVE STE 117
AURORA IL
60504-7205
US
V. Phone/Fax
- Phone: 630-320-8600
- Fax: 630-820-8700
- Phone: 630-320-8600
- Fax: 630-820-8700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NOURA
ALAHMED
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 630-320-8600