| NPI | 1891052510 |
|---|---|
| Doing Business As | NORTHSHORE UNIVERSITY HEALTHSYSTEM KELLOGG GB PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D WELDAY CFO 847-570-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: IL 054017887) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-09-18 |