# ROBERT GOLLON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bob's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477632826
- **Authorized official:** MR. ROBERT B GOLLON RPH (OWNER)
- **Authorized official phone:** (217) 563-2701

## Contact information

- **Practice address:** 116 W STATE ST, NOKOMIS, IL 62075-1657
- **Practice address phone:** (217) 563-2701
- **Practice address fax:** (217) 563-8337
- **Mailing address:** 116 W STATE ST, NOKOMIS, IL 62075-1657
- **Mailing address phone:** (217) 563-2701
- **Mailing address fax:** (217) 563-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054011896 | IL | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 03/17/2015