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Organization
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Active
Organization
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Active
Other names
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG HELM (PHARMACY SUPERVISOR)
(847) 872-6390
Entity
Organization
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6085
(847) 872-6063
Mailing address
2520 ELISHA AVE, PHARMACY, ZION, IL 60099-2676
(847) 872-6085
(847) 872-6063
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
059003283
IL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016972
PK
—
Enumeration date
03/28/2007
Last updated
01/17/2017
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