Organization
KISHWAUKEE COMMUNITY HOSPITAL
Active
Other names
KISHWAUKEE COMMUNITY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WARZECHA BS PHARMACY (DIRECTOR OF PHARMACY)
(815) 748-8381
Entity
Organization
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-8381
(815) 748-2980
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-8381
(815) 748-2980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
054.017010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017653
PK
—
05
—
4006
—
IL
Enumeration date
02/08/2008
Last updated
09/19/2025
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