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Organization
HOLISTIC PHARMACY SERVICE INC
Active
Organization
HOLISTIC PHARMACY SERVICE INC
Active
Other names
Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAUX COLE PHARMD (PHARMACIST)
(217) 525-0058
Entity
Organization
Contact information
Practice address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
(217) 525-0058
(217) 525-0034
Mailing address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
(217) 525-0058
(217) 525-0034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.017739
IL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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