47TH AND VICENNES PROFESSIONAL - NPI 1942416938

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

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About 47th And Vicennes Professional NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

47TH AND VICENNES PROFESSIONAL (NPI 1942416938) is a healthcare organization registered as a clinic pharmacy in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Zarooq Sabayo, Pharmcist, as its authorized official.

NPPES Registry Identity

NPI1942416938

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business Name47TH AND VICENNES PROFESSIONAL

Location Address504 E 47TH STChicago, IL 60653-4208

Mailing Address504 - 506 E 47th StChicago, IL 60653-4208 · (773) 624-0613 · Fax (773) 624-0204

Phone(773) 624-0613

Fax(773) 624-0204

Organization SubpartNo

Authorized OfficialZarooq SabayoPharmcist · (773) 624-0613

Enumeration DateMay 15, 2007

Last NPPES UpdateJune 18, 2008

✔ NPI 1942416938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in IL · 054014942

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

504 E 47TH ST, Chicago, IL 60653

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Frequently Asked Questions

What is 47TH AND VICENNES PROFESSIONAL's NPI number?

The NPI number assigned to this healthcare provider is 1942416938, enumerated as an "organization" on May 15, 2007.

Where is the provider located?

The provider is located at 504 E 47TH ST CHICAGO, IL 60653 and the phone number is (773) 624-0613.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.