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Organization
PRAIRIE ONCOLOGY MANAGEMENT SERVICES PHARMACY
Active
Organization
PRAIRIE ONCOLOGY MANAGEMENT SERVICES PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER W BENNETT R.PH. (REGISTERED PHARMACIST)
(217) 329-3239
Entity
Organization
Contact information
Practice address
210 W MCKINLEY AVE, STE 1, DECATUR, IL 62526-5858
(217) 329-3239
(217) 876-9829
Mailing address
210 W MCKINLEY AVE STE 1, DECATUR, IL 62526-5858
(217) 329-3239
(217) 876-9829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054014168
IL
Other
Enumeration date
10/06/2006
Last updated
03/28/2016
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