Organization
THE METHODIST HOSPITALS, INC
Active
Other names
d/b/a Methodist Hospitals Northlake Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND GRADY (PRESIDENT AND CEO)
(219) 886-4432
Entity
Organization
Contact information
Practice address
600 GRANT ST, GARY, IN 46402
(219) 883-1710
(219) 883-1711
Mailing address
600 GRANT ST, GARY, IN 46402
(219) 883-1710
(219) 883-1711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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