James A Lovell Fhcc in Great Lakes - Military/u.s. Coast Guard Pharmacy

James A Lovell Fhcc - NPI 1508965120

James A Lovell Fhcc is a Military/u.s. Coast Guard Pharmacy in Great Lakes, Illinois. James A Lovell Fhcc practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for James A Lovell Fhcc is 1508965120. The last update date is 2015-08-06.

James A Lovell Fhcc's current location address is 2470 Sampson St Bldg 237, Great Lakes, Illinois. You can contact this provider via phone number 8476883382 and fax number 8476884782. The mailing address for James A Lovell Fhcc is 2470 Sampson St Bldg 237, Great Lakes, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization James A Lovell Fhcc
Address 2470 Sampson St Bldg 237, Great Lakes, Illinois
Phone Number 8476883382
Fax Number 8476884782
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF DHA
Authorized Official Name Morales Hector
Telephone Number 2105366650

NPI Number Detail

NPI Number 1508965120
Provider Enumeration Date 2006-09-21
Last Updated Date 2015-08-06

Provider Mailing Address Detail

Address 2470 Sampson St Bldg 237
City Great Lakes
State Illinois (IL)
Post Code 600882942
Phone Number 8476883382
Fax Number 8476884782

Provider's Primary Taxonomy Detail

Speciality Military/u.s. Coast Guard Pharmacy
Taxonomy 332000000X
Licence No 362165409
Definition:
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Co

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2023371 PK

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FAQs about James A Lovell Fhcc

What is the James A Lovell Fhcc's 1508965120?

The James A Lovell Fhcc's NPI (National Provider Identifier) Number is 1508965120. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where James A Lovell Fhcc is physically located?

The James A Lovell Fhcc is physically situated at the following address: 2470 Sampson St Bldg 237, Great Lakes, IL, 600882942.

What is the James A Lovell Fhcc's area of specialization and corresponding taxonomy classification?

The James A Lovell Fhcc's specialty field is Military/u.s. Coast Guard Pharmacy, and it falls under the taxonomy code 332000000X, which categorizes healthcare providers based on their specialties.

On what date did the James A Lovell Fhcc receive the assignment of its 1508965120 from the Centers for Medicare & Medicaid Services?

The James A Lovell Fhcc was issued its 1508965120 by the Centers for Medicare & Medicaid Services on 2006-09-21.

As of what date was the information regarding James A Lovell Fhcc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James A Lovell Fhcc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-06.

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