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Organization
HARBOR PHARMACY INC
Active
Organization
HARBOR PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY S HOGAN (MANAGER)
(847) 872-5427
Entity
Organization
Contact information
Practice address
1707 7TH ST, SUITE 4, WINTHROP HARBOR, IL 60096-1656
(847) 872-5427
(847) 872-9645
Mailing address
1707 7TH ST, SUITE 4, WINTHROP HARBOR, IL 60096-1656
(847) 872-5427
(847) 872-9645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932338
BLUE CROSS BLUE SHIELD
IL
01
—
1428603
NCPDP
IL
Enumeration date
02/01/2007
Last updated
04/20/2008
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