NPI 1790092674

James a Lovell Federal Health Care Center

Organisation Military/U.S. Coast Guard Pharmacy Great Lakes, IL

Practice location

Address: 2630 Green Bay Rd Bldg 3452, Great Lakes, IL 60088-3303
Phone: (847) 688-1900
Mailing address: PO Box 322, North Chicago, IL 60064-0322

Authorised official

Name: Barbara Mayerick
Title: Director, Business Development
Phone: (202) 461-1550

Registered specialties

Military/U.S. Coast Guard Pharmacy Primary

Suppliers Taxonomy 332000000X

Other Military/U.S. Coast Guard Pharmacy providers in Illinois →

Registry record

NPI: 1790092674
Entity type: Organization
NPI issued: 13 Sep 2010
Record last updated: 21 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.