# MCDONOUGH COUNTY HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCDONOUGH COUNTY HOSPITAL DISTRICT
- **Other names:** MDH Community Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588420616
- **Legal business name:** MCDONOUGH COUNTY HOSPITAL DISTRICT
- **Authorized official:** DR. NICOLE CHRISTINA DZIUBA PHARMD (DIRECTOR OF COMMUNITY PHARMACY)
- **Authorized official phone:** (516) 639-8151

## Contact information

- **Practice address:** 533 E GRANT STREET, MACOMB, IL 61455
- **Practice address phone:** (516) 639-8151
- **Mailing address:** 525 E GRANT STREET, ATTN: MDH COMMUNITY PHARMACY, MACOMB, IL 61455
- **Mailing address phone:** (516) 639-8151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024