| Name | Value |
|---|---|
| NAME | ZZ-CHICAGO LAKE SIDE PHARMACY |
| STATE | ILLINOIS |
| STREET ADDR. 1 | 211 E ONTARIO, 12TH FLOOR |
| CITY | Chicago |
| ZIP | 60611-3468 |
| OFFICIAL VA NAME | Chicago Lake Side Pharmacy |
| STATUS | National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME | LAKESIDE VA CBOC PHARMACY |
| ST. ADDR. 1 (MAILING) | 211 E ONTARIO, 12TH FLOOR |
| CITY (MAILING) | Chicago |
| STATE (MAILING) | ILLINOIS |
| ZIP (MAILING) | 60611-3468 |
| TAXONOMY CODE |
|
| LOCATION TIMEZONE | CENTRAL |
| COUNTRY | USA |
| AGENCY CODE | VA |
| POINTER TO AGENCY | VA |