Cook County
Pharmacy, Clinic Pharmacy in Chicago, IL. Organization (NPI-2).
NPI number1013035781
StatusActive
Last updated in NPPESApr 25, 2016
Details
- NPI
- 1013035781
- Entity type
- Organization (NPI-2)
- Legal business name
- Cook County
- Organization subpart
- Yes
- Enumeration date
- Mar 27, 2007
- Last updated
- Apr 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | 054014914 | IL | Yes |
Other names
- Fantus Health Center Pharmacy (Doing Business As)
Practice location
1901 W Harrison StChicago, IL 60612-3714
Phone 312-864-6189 · Fax 312-864-9288
Mailing address
1901 W Harrison StChicago, IL 60612-3714
Phone 312-864-6189 · Fax 312-864-9288
Authorized official
John Busker
Assistant Director Of Pharmacy
3128642194
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All 28 Clinic Pharmacy providers in Chicago · All 81,422 providers in Chicago
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