Organization
JAMES A LOVELL FEDERAL HEALTH CARE CENTER
Active
Other names
DoD GREAT LAKES BMC 237 ePhcy
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 221-8443
Entity
Organization
Contact information
Practice address
2410 SAMPSON ST BLDG 237, GREAT LAKES, IL 60088-2942
(847) 688-3330
(847) 688-3175
Mailing address
JAMES A LOVELL FEDERAL HEALTH CARE CENTER, 3001 NORTH GREEN BAY ROAD, NORTH CHICAGO, IL 60064
(847) 688-3330
(847) 688-3175
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146523
PK
—
Enumeration date
06/26/2014
Last updated
06/26/2014
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