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NPI Code Detail

MEDICARE: BEG INC

MEDICARE: BEG INC
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
23336C0003XCommunity/Retail Pharmacy054014423IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12022929OTHERPK

General Provider Information

NPI Number : 1770695611
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEG INC
Provider Business Mailing Address
First Line : 5137 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2904
Country : US
Telephone Number : 773-379-7548
Fax Number : 773-379-7548
Provider Business Practice Location Address
First Line : 5137 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2904
Country : US
Telephone Number : 773-379-7548
Fax Number : 773-379-7548
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD GIN
Credential :
Telephone Number : 773-379-7548
Provider Enumeration Date : 08/31/2006
Last Update Date : 11/22/2013

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