Organization · Type 2 NPI
Illinois Department of Human
Long Term Care Pharmacy · Waukegan, IL
NPI number
1457404667
Active
Practice location
1401 W Dugdale Rd
Waukegan, IL 60085-6263
Fax (847) 249-0112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | 054017313 (IL) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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Other long term care pharmacy providers in Waukegan
About NPI 1457404667
Illinois Department of Human's National Provider Identifier is 1457404667, issued on Jan 19, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Waukegan, IL. The record was last updated on Aug 30, 2016.