Pine Street Pharmacies

NPI #1588714893 in Lincoln, Illinois

Provider Information

NPI Number
1588714893
Entity Type
Organization
Organization Name
Pine Street Pharmacies
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 11, 2007
Last Updated
Jan 8, 2015

Practice Location

Address
709 WOODLAWN RD
ZIP Code
62656-1445
Phone
(217) 735-1972

Authorized Official

Name
BRUCE STACY, RPH
Title
OWNER
Phone
(217) 735-1972

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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