Groceries of Southern Illinois LLC
NPI #1841620960 in New Athens, Illinois
Provider Information
- NPI Number
- 1841620960
- Entity Type
- Organization
- Organization Name
- Groceries of Southern Illinois LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 27, 2013
- Last Updated
- Oct 15, 2021
Practice Location
- Address
- 901 SPOTSYLVANIA ST
- City
- New Athens
- State
- Illinois
- ZIP Code
- 62264-1569
- Phone
- (618) 566-6843
Authorized Official
- Name
- DR. BRYAN SCHNEIDER, PHARMD
- Title
- DIRECTOR OF PHARMACY
- Phone
- (618) 539-5577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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