Organization Name: | OAK FOREST HEALTH CENTER PHARMACY OF COOK COUNTY |
NPI Number: | 1043238298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY SILVER (CHIEF PHARMACY OFFICER) |
Mailing Address: | 15900 Cicero Ave Oak Forest |
State: | IL US |
Postal Code: | 604524006 |
Phone Number: | 7086334419 |
Fax Number: | 7086334432 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 054017270 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |