# LOYOLA UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardinal Bernardin Cancer Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548304207
- **Authorized official:** ROBERT SOWDER RPH (PATIENT CARE PHARMACIST)
- **Authorized official phone:** (708) 327-2167

## Contact information

- **Practice address:** 2160 S 1ST AVE, BLDG 112 ROOM 1301, MAYWOOD, IL 60153-3328
- **Practice address phone:** (708) 327-2167
- **Practice address fax:** (708) 327-2188
- **Mailing address:** 2160 S 1ST AVE, BLDG 112 ROOM 1301, MAYWOOD, IL 60153-3328
- **Mailing address phone:** (708) 327-2167
- **Mailing address fax:** (708) 327-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 093013098 | IL | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1465055 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |