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Pharmblue Illinois Llc
Specialty Pharmacy in La Salle, Illinois
NPI 1699146720

Pharmblue Illinois Llc is a Specialty Pharmacy based in Chicago, IL and is specialized in Specialty Pharmacy. Pharmblue Illinois Llc practices in La Salle, IL. The NPI Number for Pharmblue Illinois Llc is 1699146720 and holds a License No. 265190 (Illinois).

The current practice location address for Pharmblue Illinois Llc is 2960 Chartres St Ste 100, La Salle, IL and can be reached out via phone at 724-779-4720 and via fax at 844-873-8758.

Location: 2960 Chartres St Ste 100, La Salle, IL, 60677-6309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699146720
Provider Name
Pharmblue Illinois Llc
Credential
Provider Entity Type
Organization
Address
2960 Chartres St Ste 100, La Salle, IL, 60677-6309
Phone Number
724-779-4720
Fax Number
844-873-8758
Provider Enumeration Date
10/15/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2154972 01 PK
454805748001 05 IL
institution
Provider Business Practice Location Address Details
Address
2960 Chartres St Ste 100
City
La Salle
State
Illinois
Zip
61301-1097
Phone Number
724-779-4720
Fax Number
844-873-8758
person
Provider Business Mailing Address Details
Address
2960 Chartres St Ste 100
City
La Salle
State
Illinois
Zip
61301-1097
Phone Number
724-779-4720
Fax Number
844-873-8758
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
054-019566 (Illinois)
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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
265190 (Minnesota)
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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