Coal City Pharmacy

NPI #1497960744 in Coal City, Illinois

Provider Information

NPI Number
1497960744
Entity Type
Organization
Organization Name
Coal City Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 11, 2007
Last Updated
Jul 30, 2008

Practice Location

Address
175 S BROADWAY ST
ZIP Code
60416-1532
Phone
(815) 634-2391

Authorized Official

Name
THOMAS E BEVERLY
Title
OWNER
Phone
(815) 634-2391

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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