Organization
CGH MEDICAL CENTER
Active
Other names
CGHMC Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM DUNPHY (DIRECTOR OF PHARMACY)
(815) 564-4633
Entity
Organization
Contact information
Practice address
100 E LE FEVRE RD, STERLING, IL 61081-1278
(815) 564-4633
(815) 632-5949
Mailing address
100 E LEFEVRE RD, STERLING, IL 61081-1278
(815) 564-4633
(815) 632-5949
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
054017388
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155581
PK
—
Enumeration date
10/15/2015
Last updated
12/09/2015
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