Organization
COOK COUNTY
Active
Other names
John H. Stroger, Jr. Hospital BC Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F. BUSKER (ASSISTANT DIRECTOR OF PHARMACY)
(312) 864-2194
Entity
Organization
Contact information
Practice address
1901 W HARRISON ST RM 1230A, CHICAGO, IL 60612-3714
(312) 864-1607
(312) 864-9288
Mailing address
1901 W HARRISON ST RM 1230A, CHICAGO, IL 60612-3714
(312) 864-1607
(312) 864-9288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
054017504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1484928
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/04/2010
Last updated
09/23/2014
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