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Organization
MARYVILLE PHARMACY INC
Active
Organization
MARYVILLE PHARMACY INC
Active
Other names
Maryville Pharmacy Cerettos
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CERETTO RPH (PHARMACIST OWNER)
(618) 288-7474
Entity
Organization
Contact information
Practice address
2700 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-1860
Mailing address
2700 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-1860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
06/15/2006
Last updated
08/22/2020
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