Goslin Drug Store INC

NPI #1114022589 in Mendota, Illinois

Provider Information

NPI Number: 1114022589
Entity Type: Organization
Organization Name: Goslin Drug Store INC
Primary Specialty: Pharmacy
Enumeration Date: Sep 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1212 13TH AVE
City: Mendota
State: Illinois
ZIP Code: 61342
Phone: (815) 538-4761

Authorized Official

Name: MR. HERBERT ALLEN GOSLIN, RPH
Title: PRESIDENT
Phone: (815) 538-4761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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