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Organization
WARREN G MURRAY DEVELOPMENTAL CTR
Active
Organization
WARREN G MURRAY DEVELOPMENTAL CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TIMMONS PHARM D (PHARMACY MGR)
(618) 532-1811
Entity
Organization
Contact information
Practice address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
(618) 532-1911
(618) 532-7464
Mailing address
1535 W MCCORD ST, CENTRALIA, IL 62801-5805
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
059005407
IL
3336L0003X
Long Term Care Pharmacy
Primary
054017317
IL
Other
Enumeration date
01/22/2007
Last updated
12/19/2018
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