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Organization
WILMINGTON PHARMACY LLC
Active
Organization
WILMINGTON PHARMACY LLC
Active
Other names
Wilmington Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE KUELTZO PHARMD (PRESIDENT)
(815) 815-9261
Entity
Organization
Contact information
Practice address
600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
(815) 926-1770
(815) 476-9476
Mailing address
600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
(815) 926-1770
(815) 476-9476
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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