Mt Vernon Community Pharmacy INC
NPI #1811543648 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1811543648
- Entity Type
- Organization
- Organization Name
- Mt Vernon Community Pharmacy INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MT VERNON COMMUNITY PHARMACY INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 16, 2019
- Last Updated
- Aug 16, 2019
Practice Location
- Address
- 2339 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2925
- Phone
- (618) 242-8776
Authorized Official
- Name
- TRACEY ADAMS
- Title
- GENERAL MANAGER
- Phone
- (618) 242-8776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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