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LOYOLA UNIVERSITY MEDICAL CENTER NPI 1184789299


NPI Information

NPI: 1184789299
Provider Name: LOYOLA UNIVERSITY MEDICAL CENTER

Doing Business As: MULCAHY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2160 S 1ST AVE
BLDG 107
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9100
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LOYOLA UNIVERSITY MEDICAL CENTER is a community/retail pharmacy pharmacy in Maywood, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LOYOLA UNIVERSITY MEDICAL CENTER NPI is 1184789299. The provider is registered as an organization entity type.
The provider Is Doing Business As Mulcahy Pharmacy.

The provider's business location address is:

2160 S 1ST AVE
BLDG 107
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9100
Fax: (708) 216-1554

The provider's authorized official is Larry Goldberg .
The authorized official title is President And Ceo and has the following contact phone number (708) 216-0588.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 1/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy054017263ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12024686OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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