# BARNATO PHARMACY OF PEORIA LLC

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

## Provider details

- **NPI number:** 1548314990
- **Authorized official:** WILLIAM BARNATO (OWNER PHARMACIST)
- **Authorized official phone:** (309) 689-9999

## Contact information

- **Practice address:** 5001 N BIG HOLLOW RD, PEORIA, IL 61615-3538
- **Practice address phone:** (309) 689-9999
- **Practice address fax:** (309) 692-9033
- **Mailing address:** 5001 N BIG HOLLOW RD, PEORIA, IL 61615-3538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054009143 | IL | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 06/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2019222 | PK | — |
| 05 | — | 371207012002 | — | IL |