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111th Pharma - Family
Community/Retail Pharmacy in Chicago, Illinois
NPI 1255415386

111th Pharma - Family is a Community/Retail Pharmacy based in Chicago, IL and is specialized in Community/Retail Pharmacy. 111th Pharma - Family practices in Chicago, IL. The NPI Number for 111th Pharma - Family is 1255415386 and holds a License No. 054018137 (Illinois).

The current practice location address for 111th Pharma - Family is 11101 S State St, Chicago, IL and can be reached out via phone at 773-785-5192 and via fax at 773-821-6970.

Location: 11101 S State St, Chicago, IL, 60628-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255415386
Provider Name
111th Pharma - Family
Credential
Provider Entity Type
Organization
Address
11101 S State St, Chicago, IL, 60628-4206
Phone Number
773-785-5192
Fax Number
773-821-6970
Provider Enumeration Date
10/25/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2141774 01 PK
institution
Provider Business Practice Location Address Details
Address
11101 S State St
City
Chicago
State
Illinois
Zip
60628-4206
Phone Number
773-785-5192
Fax Number
773-821-6970
person
Provider Business Mailing Address Details
Address
11101 S State St
City
Chicago
State
Illinois
Zip
60628-4206
Phone Number
773-785-5192
Fax Number
773-821-6970
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054018137 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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