# TREMONT VILLAGE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346255999
- **Authorized official:** CYNTHIA LEICH (OWNER PHARMACIST)
- **Authorized official phone:** (309) 925-7177

## Contact information

- **Practice address:** 220 W PEARL STREET A, TREMONT, IL 61568
- **Practice address phone:** (309) 925-7177
- **Practice address fax:** (309) 925-7008
- **Mailing address:** 220 W PEARL STREET A, TREMONT, IL 61568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 32446055 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1475056 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |