# HEINZ CREVE COEUR PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134218456
- **Authorized official:** DAVID L NEWELL R.PH. (PRESIDENT)
- **Authorized official phone:** (309) 699-9571

## Contact information

- **Practice address:** 201 N MAIN ST, CREVE COEUR, IL 61610-4039
- **Practice address phone:** (309) 699-9571
- **Practice address fax:** (309) 699-9527
- **Mailing address:** 201 N MAIN ST, CREVE COEUR, IL 61610-4039
- **Mailing address phone:** (309) 699-9571
- **Mailing address fax:** (309) 699-9527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | IL | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/22/2020