# AGELESS RX SYSTEMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sulivan Drugs of Gillespie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134104219
- **Authorized official:** TERRY ALLAN PHARM D. (OWNER)
- **Authorized official phone:** (217) 839-2877

## Contact information

- **Practice address:** 103 N JERSEY ST, SUITE 101, GILLESPIE, IL 62033
- **Practice address phone:** (217) 839-2877
- **Practice address fax:** (217) 839-3233
- **Mailing address:** 103 N JERSEY ST, SUITE 101, GILLESPIE, IL 62033
- **Mailing address phone:** (217) 839-2877
- **Mailing address fax:** (217) 839-3233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054002139 | IL | Yes |

## Other

- **Enumeration date:** 12/12/2005
- **Last updated:** 02/09/2025