Marissa Food Mart
NPI #1003980111 in Marissa, Illinois
Provider Information
- NPI Number
- 1003980111
- Entity Type
- Organization
- Organization Name
- Marissa Food Mart
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARISSA FOOD MART INC.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Apr 15, 2015
Practice Location
Authorized Official
- Name
- MRS. GAIL LASKOWSKI
- Title
- SECRETARY OF CORP.
- Phone
- (618) 295-2317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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