NPI 1013520113
Pmr Illinois Holding, LLC
Practice location
- Address
- 600 E Sibley Blvd, Dolton, IL 60419-2599
- Phone
- (708) 340-7400
- Mailing address
- 1395 NW 167th St, Miami Gardens, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 831-4722
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1013520113
- Entity type
- Organization
- NPI issued
- 28 Aug 2020
- Record last updated
- 31 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.