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Contact Information

ILLINI CLINIC PHARMACY INC
211 S 1ST STREET
ALPHA, IL61413
 Phone: 309-629-4506
 Fax: 309-629-2611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ILLINI CLINIC PHARMACY INC

NPI Number 1992265235
LBN Legal business name ILLINI CLINIC PHARMACY INC
Authorized official DONNA MERIDETH - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/22/2019
Last updated 07/01/2020 - About 6 years ago
Identifiers n/a
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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