Pbcc Pharmacy LLC
NPI #1366070476 in Springfield, Illinois
Provider Information
- NPI Number
- 1366070476
- Entity Type
- Organization
- Organization Name
- Pbcc Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 1, 2020
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 1500 W WASHINGTON ST STE B
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4756
- Phone
- (217) 546-7100
Authorized Official
- Name
- OSVALDO WESLY
- Title
- MEDICAL DIRECTOR
- Phone
- (217) 414-1041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy |
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