Organization
SWEDISHAMERICAN HOSPITAL
Active
Other names
SwedishAmerican Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
E. THOMAS CAREY (PHARMACY DIRECTOR)
(815) 968-4400
Entity
Organization
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 968-4400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.017022
IL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142356
PK
—
Enumeration date
11/06/2013
Last updated
12/29/2017
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