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Bolingbrook Pharmacy Inc
Compounding Pharmacy in Bolingbrook, Illinois
NPI 1912001967

Bolingbrook Pharmacy Inc is a Compounding Pharmacy based in Bolingbrook, IL and is specialized in Compounding Pharmacy. Bolingbrook Pharmacy Inc practices in Bolingbrook, IL. The NPI Number for Bolingbrook Pharmacy Inc is 1912001967 and holds a License No. (Illinois).

The current practice location address for Bolingbrook Pharmacy Inc is 402 W Boughton Rd, Bolingbrook, IL and can be reached out via phone at 630-759-6464 and via fax at 630-759-1780.

Location: 402 W Boughton Rd, Bolingbrook, IL, 60440-1872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912001967
Provider Name
Bolingbrook Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
402 W Boughton Rd, Bolingbrook, IL, 60440-1872
Phone Number
630-759-6464
Fax Number
630-759-1780
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2022733 01 PK
institution
Provider Business Practice Location Address Details
Address
402 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1872
Phone Number
630-759-6464
Fax Number
630-759-1780
person
Provider Business Mailing Address Details
Address
402 W Boughton Rd
City
Bolingbrook
State
Illinois
Zip
60440-1872
Phone Number
630-759-6464
Fax Number
630-759-1780
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054005594 (Illinois)
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
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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.
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