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Organization
LAWNDALE CHRISTIAN HEALTH CENTER
Active
Organization
LAWNDALE CHRISTIAN HEALTH CENTER
Active
Other names
LAWNDALE CHRISTIAN HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN JOHNSON (ASST DIR OF PATIENT ACCOUNTING)
(872) 588-3062
Entity
Organization
Contact information
Practice address
3910 W OGDEN AVE, CHICAGO, IL 60623-2470
(872) 588-3256
(872) 588-3251
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054013315
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023743
PK
—
Enumeration date
08/23/2006
Last updated
07/01/2021
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