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Organization
ADVENTIST BOLINGBROOK HOSPITAL
Active
Organization
ADVENTIST BOLINGBROOK HOSPITAL
Active
Other names
UCHICAGO MEDICINE ADVENTHEALTH PHARMACY BOLINGBROOK
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN SHAW (CHIEF FINANCIAL OFFICER)
(630) 312-6008
Entity
Organization
Contact information
Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-3970
Mailing address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-3970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Enumeration date
06/02/2011
Last updated
11/12/2024
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