Hac 4 LLC
NPI #1265897409 in Farmer City, Illinois
Provider Information
- NPI Number
- 1265897409
- Entity Type
- Organization
- Organization Name
- Hac 4 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 15, 2015
- Last Updated
- Apr 4, 2017
Practice Location
- Address
- 217 S MAIN ST
- City
- Farmer City
- State
- Illinois
- ZIP Code
- 61842-1455
- Phone
- (309) 928-2491
Authorized Official
- Name
- NORMA HOLTZ
- Title
- PHARMACY MANAGER
- Phone
- (309) 928-2491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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