Organization
LOYOLA UNIVERSITY MEDICAL CENTER
Active
Other names
Cardinal Bernardin Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SOWDER RPH (PATIENT CARE PHARMACIST)
(708) 327-2167
Entity
Organization
Contact information
Practice address
2160 S 1ST AVE, BLDG 112 ROOM 1301, MAYWOOD, IL 60153-3328
(708) 327-2167
(708) 327-2188
Mailing address
2160 S 1ST AVE, BLDG 112 ROOM 1301, MAYWOOD, IL 60153-3328
(708) 327-2167
(708) 327-2188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
093013098
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465055
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
06/26/2008
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