Extended Pharmacy LLC

NPI #1700014446 in Peoria, Illinois

Provider Information

NPI Number
1700014446
Entity Type
Organization
Organization Name
Extended Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 1, 2009
Last Updated
Mar 14, 2023

Practice Location

Address
121 STATE ST STE 1A
City
Peoria
ZIP Code
61602-1547
Phone
(309) 676-4831

Authorized Official

Name
ERIC SPIRES
Title
MANAGER
Phone
(309) 676-4831

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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