Illinois Department of Human

NPI #1528111424 in Kankakee, Illinois

Provider Information

NPI Number
1528111424
Entity Type
Organization
Organization Name
Illinois Department of Human
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jan 22, 2007
Last Updated
Jul 13, 2022

Practice Location

Address
100 E JEFFERY ST
ZIP Code
60901-5018
Phone
(815) 939-8272

Authorized Official

Name
RONDA ANN SUMNER, RPH
Title
PHARMACY MANAGER
Phone
(815) 939-8272

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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