NORTH CHICAGO PHARMACY (2815)    INSTITUTION (4)

Name Value
NAME NORTH CHICAGO PHARMACY
STATE ILLINOIS
STREET ADDR. 1 3001 Green Bay Rd.
CITY NORTH CHICAGO
ZIP 60064-3048
OFFICIAL VA NAME North Chicago Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JAMES A LOVELL FEDERAL HEALTH CARE CENTER VAMC PHARMACY
ST. ADDR. 1 (MAILING) 3001 Green Bay Rd.
CITY (MAILING) NORTH CHICAGO
STATE (MAILING) ILLINOIS
ZIP (MAILING) 60064-3048
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1326006933
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1326006933