Organization
KATHERINE SHAW BETHEA HOSPITAL
Active
Other names
Katherine Shaw Bethea Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE D MANN FACHE (VP/CHIEF ADMINISTRATIVE OFFICER)
(815) 285-5538
Entity
Organization
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5586
(815) 285-5923
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5586
(815) 285-5923
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.016955
IL
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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