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NPI Code Detail

MEDICARE: FARMACIA CUATRO INC

MEDICARE: FARMACIA CUATRO 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy05414652IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12021041OTHERPK

General Provider Information

NPI Number : 1891807731
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARMACIA CUATRO INC
Provider Business Mailing Address
First Line : 4937 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-2505
Country : US
Telephone Number : 773-637-8010
Fax Number : 773-637-8033
Provider Business Practice Location Address
First Line : 4937 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-2505
Country : US
Telephone Number : 773-637-8010
Fax Number : 773-637-8033
Authorized Official
Title or Position : PRESIDENT
Name : ARNOLD EINBINDER
Credential :
Telephone Number : 773-252-6003
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/18/2016

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Directions to “FARMACIA CUATRO INC ” Practice Location

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