| Northshore Hammond Pharmacy | |
|
1828 165th St Ste A Hammond IN 46320-2823 | |
| (219) 764-5349 | |
| (219) 764-5381 |
| Full Name | Northshore Hammond Pharmacy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1828 165th St Ste A, Hammond, Indiana |
| Authorized Official Name and Position | David Hall (CEO) |
| Authorized Official Contact | 2197638112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Hammond Pharmacy Po Box 1430 Portage IN 46368-9230 Ph: (219) 763-8112 | Northshore Hammond Pharmacy 1828 165th St Ste A Hammond IN 46320-2823 Ph: (219) 764-5349 |
| NPI Number | 1417553777 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417553777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Secondary |
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