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NPI Code Detail

MEDICARE: POWER PARTNERS LLC

MEDICARE: POWER PARTNERS LLC
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
13336C0003XCommunity/Retail Pharmacy054015434IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12021773OTHERPK

General Provider Information

NPI Number : 1861403362
Entity Type Code : Organization
Provider Name (Legal Business Name) : POWER PARTNERS LLC
Provider Business Mailing Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-8688
Fax Number : 773-465-8677
Provider Business Practice Location Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-8688
Fax Number : 773-465-8677
Authorized Official
Title or Position : OWNER
Name : ANDREAS ISKOS
Credential : PHARM D
Telephone Number : 773-465-8688
Provider Enumeration Date : 08/10/2006
Last Update Date : 12/28/2015

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Directions to “POWER PARTNERS LLC ” Practice Location

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