NPI 1114063724 · live from the CMS NPI Registry
Advocate Health And Hopsitals Corporation
Pharmacy, Community/Retail Pharmacy in Oak Lawn, IL. National Provider Identifier 1114063724, active.
NPI record
| NPI | 1114063724 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 4400 W 95th St Ste 101, Department Of Pharmacy, Oak Lawn, IL 60453 |
| Practice phone | 708-684-5275 |
| Enumerated | January 30, 2007 |
| Last updated | December 5, 2012 |
| Authorized official | Mary Anne Hickman, Pharmacy Supervisor |
| Other names | Christ Hospital Outpatient Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 054008972 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.