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NPI Code Detail

MEDICARE: CINDYS PHARMACY

MEDICARE: CINDYS 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
1333600000XPharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0002XClinic Pharmacy
43336C0003XCommunity/Retail PharmacyIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11459862OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
21459862OTHEROTHER ID NUMBER

General Provider Information

NPI Number : 1750427365
Entity Type Code : Organization
Provider Name (Legal Business Name) : CINDYS PHARMACY
Provider Business Mailing Address
First Line : 5310 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2514
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5310 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2514
Country : US
Telephone Number : 773-334-4573
Fax Number : 773-334-8225
Authorized Official
Title or Position : PRESIDENT AND OWNER
Name : CYNTHIA FLORES
Credential : RPH
Telephone Number : 773-334-4573
Provider Enumeration Date : 01/30/2007
Last Update Date : 04/20/2008

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Directions to “CINDYS PHARMACY ” Practice Location

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