# FAMILY CARE PHARMACY OF BREESE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508963349
- **Authorized official:** JENNIFER SANTEL RPH (PRESIDENT)
- **Authorized official phone:** (618) 526-2800

## Contact information

- **Practice address:** 20 N 4TH ST, BREESE, IL 62230-1436
- **Practice address phone:** (618) 526-2800
- **Practice address fax:** (618) 526-0761
- **Mailing address:** 20 N 4TH ST, BREESE, IL 62230-1436
- **Mailing address phone:** (618) 526-2800
- **Mailing address fax:** (618) 526-0761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054018542 | IL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2020917 | PK | — |