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Organization
BECKS LONG TERM CARE PHARMACY INC
Active
Organization
BECKS LONG TERM CARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON VINCENT KASIAR R.PH. (OWNER)
(618) 273-2612
Entity
Organization
Contact information
Practice address
1413 LOCUST STREET, ELDORADO, IL 62930
(618) 273-2612
(618) 273-5328
Mailing address
1413 LOCUST ST., ELDORADO, IL 62930
(618) 273-2612
(618) 273-8165
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054-018435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054018435
—
IL
Enumeration date
02/07/2014
Last updated
07/21/2022
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