NPI | 1184923260 |
---|---|
Doing Business As | UCHICAGO MEDICINE ADVENTHEALTH PHARMACY BOLINGBROOK |
Entity Type | Organization |
Authorized Contact | TRISTAN SHAW Chief Financial Officer 630-312-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054-017593) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2011-03-15 |
Last Update Date | 2024-11-08 |