# HOPEDALE PHARMACY

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

## Provider details

- **NPI number:** 1306977699
- **Authorized official:** DR. LISA ANNETTE ROSSI-MCLAUGHLIN PHARM.D. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (309) 449-4330

## Contact information

- **Practice address:** 107 TREMONT ST., HOPEDALE, IL 61747
- **Practice address phone:** (309) 449-4330
- **Practice address fax:** (309) 449-4336
- **Mailing address:** 107 TREMONT ST., HOPEDALE, IL 61747
- **Mailing address phone:** (309) 449-4330
- **Mailing address fax:** (309) 449-4336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 093013390 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 054017195 | IL | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 02/22/2023