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Organization
ST. JOSEPH DRUGS, INC.
Active
Organization
ST. JOSEPH DRUGS, INC.
Active
Other names
St. Joseph Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A. MUNDAY RPH. (OWNER/PHARMACIST)
(217) 469-2232
Entity
Organization
Contact information
Practice address
204 N. MAIN ST., SAINT JOSEPH, IL 61873-0500
(217) 469-2232
(217) 469-2381
Mailing address
PO BOX 500, SAINT JOSEPH, IL 61873-0500
(217) 469-2232
(217) 469-2381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054011849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032004839
CONTROLLED SUBSTANCE LIC
IL
01
—
054011849
PHARMACY LICENSE
IL
01
—
1427726
NABP #
IL
Enumeration date
05/24/2005
Last updated
05/14/2008
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