Healthcare Provider Details

I. General information

NPI: 1891740288
Provider Name (Legal Business Name): SINGER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6213 W BELMONT AVE
CHICAGO IL
60634-4019
US

IV. Provider business mailing address

6213 W BELMONT AVE
CHICAGO IL
60634-4019
US

V. Phone/Fax

Practice location:
  • Phone: 773-622-2331
  • Fax: 773-622-3635
Mailing address:
  • Phone: 773-622-2331
  • Fax: 773-622-3635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. HOWARD BLEICHMAN
Title or Position: OWNER
Credential: PHARMACIST
Phone: 773-622-2331