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HAC 2 INC NPI 1518000926


NPI Information

NPI: 1518000926
Provider Name: HAC 2 INC

Doing Business As: HEALTH ONE OF CENTRAL ILLINOIS

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1053 JASON PL
CHATHAM, IL
ZIP 62629
Phone: (217) 483-7431
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HAC 2 INC is a pharmacy in Chatham, IL. The provider is 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. HAC 2 INC NPI is 1518000926. The provider is registered as an organization entity type.
The provider Is Doing Business As Health One Of Central Illinois.

The provider's business location address is:

1053 JASON PL
CHATHAM, IL
ZIP 62629-018
Phone: (217) 483-7431
Fax: (217) 483-7491

The provider's authorized official is Donna Mattera .
The authorized official title is President and has the following contact phone number (217) 622-9276.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy93013469ILLINOISYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11478634OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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