National Provider Identifier Database

GARDNER PHARMACY INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

GARDNER PHARMACY INC
122 DEPOT
GARDNER, IL60424
Phone: 815-237-2152
Fax: 815-237-0858
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for GARDNER PHARMACY INC

NPI Number 1154418499
Legal business name
LBN
GARDNER PHARMACY INC
Authorized official CURT TRIZZINO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/06/2006
Last updated 11/28/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 363771367001

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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