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General NPI Number Information
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NPI Number | 1093720633
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Entity Type | Organization
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Legal Business Name | BASINGERS PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 2219 W JEFFERSON ST
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City | JOLIET
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State | IL
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Zip | 60435-6511
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Country | US
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Telephone | 815-725-1102
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Fax | 815-725-7500
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Provider Business Mailing Address
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Address Line | 2219 W JEFFERSON ST
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City | JOLIET
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State | IL
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Zip | 60435-6511
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Country | US
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Telephone | 815-725-1102
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Fax | 815-725-7500
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARISH BHATT
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Credential |
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Telephone | 815-725-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054009648
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License Number State | IL
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