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Organization
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
Active
Organization
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
Active
Other names
Shawnee Health Pharmacy, Carterville
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH SMILEY RPH (PHARMACY DIRECTOR)
(618) 519-9200
Entity
Organization
Contact information
Practice address
1006 S DIVISION ST STE 200, CARTERVILLE, IL 62918-1539
(618) 519-9200
Mailing address
1006 S DIVISION ST STE 200, CARTERVILLE, IL 62918-1539
(618) 519-9200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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