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NPI Code Detail

MEDICARE: LUDEMAN HUB PHARMACY

MEDICARE: LUDEMAN HUB PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy054017311IL

General Provider Information

NPI Number : 1255485090
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUDEMAN HUB PHARMACY
Provider Business Mailing Address
First Line : 114 N ORCHARD DR
Second Line :
City : PARK FOREST
State : IL
Zip : 60466-1200
Country : US
Telephone Number : 708-283-3262
Fax Number : 708-283-3188
Provider Business Practice Location Address
First Line : 114 N ORCHARD DR
Second Line :
City : PARK FOREST
State : IL
Zip : 60466-1200
Country : US
Telephone Number : 708-283-3262
Fax Number : 708-283-3188
Authorized Official
Title or Position : PHARMACY MANAGER
Name : CORNELIA OKEKE
Credential : PHARMD
Telephone Number : 708-283-3192
Provider Enumeration Date : 01/22/2007
Last Update Date : 04/17/2026

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Directions to “LUDEMAN HUB PHARMACY ” Practice Location

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