Pekin Prescription Laboratory, Inc.

NPI #1487603296 in Pekin, Illinois

Provider Information

NPI Number
1487603296
Entity Type
Organization
Organization Name
Pekin Prescription Laboratory, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
May 9, 2006
Last Updated
Mar 30, 2015

Practice Location

Address
1016 COURT ST
City
Pekin
ZIP Code
61554-4818
Phone
(309) 346-2141

Authorized Official

Name
MR. MARK L. PROBASCO, R.PH.
Title
PRESIDENT
Phone
(309) 346-2141

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies

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