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NPI Code Detail

MEDICARE: COMMUNITY PHARMACY SERVICES INC

MEDICARE: COMMUNITY PHARMACY SERVICES 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
13336C0002XClinic Pharmacy
23336C0003XCommunity/Retail Pharmacy054014839IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11481718OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1932265907
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY PHARMACY SERVICES INC
Provider Business Mailing Address
First Line : 1555 W HOWARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60626-1707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1555 W HOWARD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60626-1707
Country : US
Telephone Number : 773-262-4140
Fax Number : 773-262-4143
Authorized Official
Title or Position : PHCY DIRECTOR
Name : SALEM NAJJAR
Credential : PH.D.
Telephone Number : 773-262-4140
Provider Enumeration Date : 12/27/2006
Last Update Date : 10/02/2008

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Directions to “COMMUNITY PHARMACY SERVICES INC ” Practice Location

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