Organization
ASHLAND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK WRIGHT (CHIEF FINANCIAL OFFICER)
(708) 482-4000
Entity
Organization
Contact information
Practice address
12 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-4000
(708) 482-4004
Mailing address
12 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-4000
(708) 482-4004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
05/22/2014
Last updated
08/19/2020
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