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Organization
MIDWEST MEDICAL CENTER
Active
Organization
MIDWEST MEDICAL CENTER
Active
Other names
Midwest Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JACKSON (CFO)
(815) 776-7277
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR STE 1, GALENA, IL 61036-8118
(815) 777-1340
Mailing address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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