Healthcare Provider Details
I. General information
NPI: 1811788128
Provider Name (Legal Business Name): OGDEN PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2040 OGDEN AVE STE 117
AURORA IL
60504-7205
US
IV. Provider business mailing address
2810 N CHURCH ST # 94702
WILMINGTON DE
19802-4447
US
V. Phone/Fax
- Phone: 630-320-8600
- Fax: 630-320-8700
- Phone: 630-320-8600
- Fax: 630-320-8700
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NOURA
HAMOUI
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 630-320-8600