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LOYOLA UNIVERSITY MEDICAL CENTER NPI 1548304207


NPI Information

NPI: 1548304207
Provider Name: LOYOLA UNIVERSITY MEDICAL CENTER

Doing Business As: CARDINAL BERNARDIN CANCER CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2160 S 1ST AVE
BLDG 112 ROOM 1301
MAYWOOD, IL
ZIP 60153
Phone: (708) 327-2167
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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 1548304207. The provider is registered as an organization entity type.
The provider Is Doing Business As Cardinal Bernardin Cancer Center Pharmacy.

The provider's business location address is:

2160 S 1ST AVE
BLDG 112 ROOM 1301
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-2167
Fax: (708) 327-2188

The provider's authorized official is Robert Sowder .
The authorized official title is Patient Care Pharmacist and has the following contact phone number (708) 327-2167.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 6/26/2008.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy093013098ILLINOISYes

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
1=========007MEDICAIDILLINOIS
21465055OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
31465055OTHEROTHER ID NUMBER
40564080004MEDICARE NSC

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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