LETITRIDE INC NPI 1851755326

NPI Information

NPI: 1851755326
Provider Name: LETITRIDE INC

Doing Business As: CHENOA RX LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
209 S GREEN ST
CHENOA, IL
ZIP 61726
Phone: (815) 945-4211
Get Directions

LETITRIDE INC is a long term care pharmacy pharmacy in Chenoa, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LETITRIDE INC NPI is 1851755326. The provider is registered as an organization entity type.
The provider Is Doing Business As Chenoa Rx Ltc.

The provider's business location address is:

209 S GREEN ST
CHENOA, IL
ZIP 61726-133
Phone: (815) 945-4211
Fax: (815) 945-7466

The provider's authorized official is Robert Taveggia .
The authorized official title is Owner/rph and has the following contact phone number (815) 945-4211.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 3/8/2022.

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
1	333600000X	Pharmacy				No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	054.019487	ILLINOIS	Yes

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
1	2159288	OTHER		PK

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

NPI Synchronization or Removal

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