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NPI Code Detail

MEDICARE: CORE CENTER PHARMACY COOK COUNTY

MEDICARE: CORE CENTER PHARMACY COOK COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2333600000XPharmacy
33336C0002XClinic Pharmacy054013985IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12024722OTHERPK

General Provider Information

NPI Number : 1457385775
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORE CENTER PHARMACY COOK COUNTY
Provider Business Mailing Address
First Line : 2020 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3741
Country : US
Telephone Number : 312-572-4880
Fax Number : 312-572-4890
Provider Business Practice Location Address
First Line : 2020 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3741
Country : US
Telephone Number : 312-572-4880
Fax Number : 312-572-4890
Authorized Official
Title or Position : PIC
Name : LORNA PRYOR
Credential :
Telephone Number : 312-572-4888
Provider Enumeration Date : 07/11/2006
Last Update Date : 05/31/2018

Similar Medicare Providers

1376515379 — LAUREN FOSTER CNP
Practice Location Address:
2020 W HARRISON ST
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4670
Practice Fax: 312-572-4659
1235178708 — JOHN ALLEN KOWALSKI
Practice Location Address:
2020 W HARRISON ST , SUITE 1266
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4739
Practice Fax: 312-572-4719
1306870993 — DR. DAVID E. BARKER M.D.
Practice Location Address:
2020 W HARRISON ST
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4505
Practice Fax: 312-572-4511
1699790279 — DR. RACHEL RUBIN MD
Practice Location Address:
2020 W HARRISON ST , RUTH M ROTHSTEIN CORE CENTER
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4500
Practice Fax: 312-278-0097
1366552952 — DR. GREGORY DAVID HUHN M.D.
Practice Location Address:
2020 W HARRISON ST
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4575
Practice Fax: 312-572-4502
1255432290 — MS. ROSEMARY JUAREZ PACYGA FNP, NP-C, MS
Practice Location Address:
2020 W HARRISON ST
CHICAGO, IL
60612-3741
Practice Phone: 312-572-4680
Practice Fax: 312-572-4659

Directions to “CORE CENTER PHARMACY COOK COUNTY ” Practice Location

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