Bethany Hosp Outpatient Pharmacy

NPI #1265509418 in Chicago, Illinois

Provider Information

NPI Number: 1265509418
Entity Type: Organization
Organization Name: Bethany Hosp Outpatient Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Nov 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3435 W VAN BUREN ST
City: Chicago
State: Illinois
ZIP Code: 60624-3312
Phone: (773) 265-3585

Authorized Official

Name: MR. MELVIN ROBERT SLEDGE, RPH
Title: PHARMACIST IN CHARGE
Phone: (773) 265-3585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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