Forum Extended Care Svc Inc Ii is a Specialty Pharmacy based in Chicago, IL and is specialized in Specialty Pharmacy. Forum Extended Care Svc Inc Ii practices in Chicago, IL. The NPI Number for Forum Extended Care Svc Inc Ii is 1346291499 and holds a License No. 64001297A (Illinois).
The current practice location address for Forum Extended Care Svc Inc Ii is 4201 W Victoria St, Chicago, IL and can be reached out via phone at 847-673-8727 and via fax at 847-673-6215.
Location: 4201 W Victoria St, Chicago, IL, 60646-6700
Provider Profile Details
NPI Number
1346291499
Provider Name
Forum Extended Care Svc Inc Ii
Credential
Provider Entity Type
Organization
Address
4201 W Victoria St, Chicago, IL, 60646-6700
Phone Number
847-673-8727
Fax Number
847-673-6215
Provider Enumeration Date
05/13/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36855933001 | 05 | IL | |
| 33245400 | 05 | WI | |
| 2022130 | 01 | PK | |
| 201063520 A | 05 | IN |
Provider Business Practice Location Address Details
Address
4201 W Victoria St
City
State
Zip
60646-6700
Phone Number
847-673-8727
Fax Number
847-673-6215
Provider Business Mailing Address Details
Address
4201 W Victoria St
City
State
Zip
60646-6700
Phone Number
847-673-8727
Fax Number
847-673-6215
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
054017240 (Illinois)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
1204-43 (Wisconsin)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
64001297A (Indiana)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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