# PRINCETON PHARMACY, INC

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

## Provider details

- **NPI number:** 1396959938
- **Authorized official:** LISA STEFANI (PRESIDENT)
- **Authorized official phone:** (815) 875-1237

## Contact information

- **Practice address:** 610 N MAIN STREET, PRINCETON, IL 61356-2006
- **Practice address phone:** (815) 875-1237
- **Practice address fax:** (815) 872-1747
- **Mailing address:** 610 N MAIN STREET, PRINCETON, IL 61356-2006
- **Mailing address phone:** (815) 875-1237
- **Mailing address fax:** (815) 872-1747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 54014933 | IL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 08/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1430090 | NCPDP | — |