Illini Clinic Pharmacy INC

NPI #1053838458 in Alpha, Illinois

Provider Information

NPI Number
1053838458
Entity Type
Organization
Organization Name
Illini Clinic Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 25, 2017
Last Updated
Jul 1, 2020

Practice Location

Address
211 S. 1ST ST
City
Alpha
ZIP Code
61413-0355
Phone
(309) 629-4506

Authorized Official

Name
DONNA MERIDETH
Title
OWNER/PIC
Phone
(309) 629-4506

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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