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 |