Organization
ST BERNARD HOSPITAL & HEALTH CARE CENTER
Active
Other names
SAINT BERNARD HOSPITAL OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WILLIAMS (MANAGER OF PHARMACY)
(773) 962-6660
Entity
Organization
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-6660
(773) 962-4401
Mailing address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-6660
(773) 962-4401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
09311571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022315
PK
—
Enumeration date
08/10/2006
Last updated
02/21/2017
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