Life Source Pharmacy Inc
Life Source Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11238 S Western AveChicago, IL 60643-4116
Phone: (773) 321-2656
Fax: (773) 941-4294
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054-017353 (IL) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1821316647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Prashant Patel — President · (773) 321-2656 |
| Other names | Life Source Pharmacy, Inc |
| NPI enumerated | May 5, 2010 |
| Last updated in NPPES | March 22, 2015 |
| Mailing address | 5 Osprey Ct, Streamwood, IL 60107-2813 |
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