Organization
OAK FOREST HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN GRANT RPH (PHARMACY DIRECTOR)
(708) 633-4437
Entity
Organization
Contact information
Practice address
15900 CICERO AVENUE, OAK FOREST, IL 60452-4006
(708) 633-4437
(708) 633-4442
Mailing address
15900 CICERO AVENUE, OAK FOREST, IL 60452-4006
(708) 633-4437
(708) 633-4442
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
AJ4100171
IL
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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