Healthcare Provider Details

I. General information

NPI: 1275642829
Provider Name (Legal Business Name): HEALYS EDWARD CAMPUS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPALDING DR # 101
NAPERVILLE IL
60540
US

IV. Provider business mailing address

100 SPALDING DR
NAPERVILLE IL
60540
US

V. Phone/Fax

Practice location:
  • Phone: 630-357-2900
  • Fax: 630-357-2989
Mailing address:
  • Phone: 630-357-2900
  • Fax: 630-357-2989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. THOMAS ALDEN HEALY
Title or Position: PRESIDENT
Credential:
Phone: 630-357-2900