Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SWEDISHAMERICAN HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BORN (CEO)
(779) 696-4400
Entity
Organization
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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