Organization
COOK COUNTY
Active
Parent organization
COOK COUNTY
Other names
Cook County Health Central Fill Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK COUNTY
Authorized official
JAY SLIVER (DIRECTOR OF PHARMACY)
(312) 864-2209
Entity
Organization
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1607
(312) 864-9175
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-1607
(312) 864-9175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
054.017533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129443
PK
—
Enumeration date
03/08/2011
Last updated
06/24/2022
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