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Contact Information

DOC'S DRUGS LTC
2764 NORTH ROUTE 1-17
B
MOMENCE, IL60954
 Phone: 815-472-3223
 Fax: 815-472-3253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for DOC'S DRUGS LTC

NPI Number 1235376161
LBN Legal business name DOC'S DRUGS LTC
Authorized official NICK SARTORIS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2009
Last updated 01/14/2009 - About 17 years ago
Identifiers
IL License # 054014073
IL Other 1482823 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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