Illini Clinic Pharmacy INC
NPI #1992265235 in Alpha, Illinois
Provider Information
- NPI Number
- 1992265235
- Entity Type
- Organization
- Organization Name
- Illini Clinic Pharmacy INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ILLINI CLINIC PHARMACY
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Mar 22, 2019
- Last Updated
- Jul 1, 2020
Practice Location
Authorized Official
- Name
- DONNA MERIDETH
- Title
- OWNER/PHARMACIST IN CHARGE
- Phone
- (309) 629-4506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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