Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pharmblue Illinois LLC

Organization Pharmacy · NPI 1699146720

Pharmblue Illinois LLC is a Pharmacy in LA Salle, Illinois. Licensed in Illinois and Minnesota. Registered with an NPI since 2015.

Licensed in
IL, MN
In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2960 Chartres St Ste 100
LA Salle, IL 61301-1097
Phone: (724) 779-4720
Fax: (844) 873-8758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054-019566 (IL)
Pharmacy Taxonomy 333600000X · Licence 265190 (MN)
Long Term Care Pharmacy Taxonomy 3336L0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1699146720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Nelson — Ceo · (724) 779-4720
Other names Pharmblue Illinois Llc
NPI enumeratedOctober 15, 2015
Last updated in NPPESMarch 24, 2017
Mailing addressPo Box 776309, Chicago, IL 60677-6309

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