Organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Active
Parent organization
MCDONOUGH COUNTY HOSPITAL DISTRICT
Other names
MDH Community Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCDONOUGH COUNTY HOSPITAL DISTRICT
Authorized official
DR. NICOLE CHRISTINA DZIUBA PHARMD (DIRECTOR OF COMMUNITY PHARMACY)
(516) 639-8151
Entity
Organization
Contact information
Practice address
533 E GRANT STREET, MACOMB, IL 61455
(516) 639-8151
Mailing address
525 E GRANT STREET, ATTN: MDH COMMUNITY PHARMACY, MACOMB, IL 61455
(516) 639-8151
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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