# WILMINGTON PHARMACY LLC

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

## Provider details

- **NPI number:** 1215538582
- **Authorized official:** DR. CLARKE KUELTZO PHARMD (PRESIDENT)
- **Authorized official phone:** (815) 815-9261

## Contact information

- **Practice address:** 600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
- **Practice address phone:** (815) 926-1770
- **Practice address fax:** (815) 476-9476
- **Mailing address:** 600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
- **Mailing address phone:** (815) 926-1770
- **Mailing address fax:** (815) 476-9476

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2020
- **Last updated:** 11/03/2020