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General NPI Number Information
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NPI Number | 1366554206
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Entity Type | Organization
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Legal Business Name | OP PHCY SVS INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2400 N ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60614-2021
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Country | US
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Telephone | 773-472-7467
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Fax | 773-472-0390
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Provider Business Mailing Address
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Address Line | 2400 N ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60614-2021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOL BERNSTEIN
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Credential | RPH
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Telephone | 773-472-7467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | IL
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