National Provider Identifier Database

PACKARD MENTAL HEALTH CENTER PHARMACY
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

PACKARD MENTAL HEALTH CENTER PHARMACY
901 SOUTHWIND DR
SPRINGFIELD, IL62703-5125
Phone: 217-786-0203
Fax: 217-786-0225
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for PACKARD MENTAL HEALTH CENTER PHARMACY

NPI Number 1164576906
Legal business name
LBN
PACKARD MENTAL HEALTH CENTER PHARMACY
Authorized official JENNIFER RATLIFF - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 01/22/2007
Last updated 04/17/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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