# JAMES A LOVELL FHCC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DoD GREAT LAKES BURKEY MALL ePhcy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043625981
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 2630 GREEN BAY RD BLDG 3452, NORTH CHICAGO, IL 60088-3303
- **Practice address phone:** (847) 688-2772
- **Practice address fax:** (847) 688-2805
- **Mailing address:** PO BOX 322, JAMES A LOVELL FHCC, NORTH CHICAGO, IL 60064
- **Mailing address phone:** (224) 610-4232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 11/24/2015