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Organization
ASHMANN PRESCRIPTION PHCY INC
Active
Organization
ASHMANN PRESCRIPTION PHCY INC
Active
Other names
ASHMANN PRESCRIPTION PHARMACY INCORPORATED
Organization subpart
No
Provider details
NPI number
Authorized official
LEONNARD LOCUS RPH (PRESIDENT)
(618) 344-2300
Entity
Organization
Contact information
Practice address
209 E MAIN ST, COLLINSVILLE, IL 62234-3006
(618) 344-2300
(618) 344-6561
Mailing address
209 E MAIN ST, COLLINSVILLE, IL 62234-3006
(618) 344-2300
(618) 344-6561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054013298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022501
PK
—
Enumeration date
08/20/2006
Last updated
09/14/2016
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