Organization
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Active
Other names
MIDWESTERN REGIONAL MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG HELM (PHARMACY SUPERVISOR)
(847) 872-6390
Entity
Organization
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6085
(847) 872-6063
Mailing address
2520 ELISHA AVE, PHARMACY, ZION, IL 60099-2676
(847) 872-6085
(847) 872-6063
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
059003283
IL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016972
PK
—
Enumeration date
03/28/2007
Last updated
01/17/2017
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