K&s Pharmacies of Southern Illinois Ltd

NPI #1649264722 in Sparta, Illinois

Provider Information

NPI Number
1649264722
Entity Type
Organization
Organization Name
K&s Pharmacies of Southern Illinois Ltd
Primary Specialty
Pharmacy
Enumeration Date
Sep 6, 2005
Last Updated
Oct 3, 2018

Practice Location

Address
157 W BROADWAY ST
City
Sparta
ZIP Code
62286-1619
Phone
(618) 443-2715

Authorized Official

Name
DR. SEAMUS N KLOOS, PHARM.D.
Title
CORP TREASURER/PHARMACIST IN CHARGE
Phone
(618) 443-2715

Specialties & Taxonomy Codes

Specialty
Pharmacy

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