# CHRISTIE PHARMACY CHAMPAIGN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245325323
- **Authorized official:** MR. WILLIAM PIERCE D.P.M. (MEDICAL DIRECTOR/OFFICER)
- **Authorized official phone:** (217) 366-1270

## Contact information

- **Practice address:** 1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
- **Practice address phone:** (217) 366-1225
- **Mailing address:** 1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
- **Mailing address phone:** (217) 366-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | BC8731374 | IL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 12/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 371226604001 | — | IL |