| NPI | 1932672888 |
|---|---|
| Doing Business As | D/B/A METHODIST HOSPITALS NORTHLAKE OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND GRADY President And CEO 219-886-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |