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Organization
CARLINVILLE HEALTH & PRESCRIPTIONS SERVICES INC
Active
Organization
CARLINVILLE HEALTH & PRESCRIPTIONS SERVICES INC
Active
Other names
Sullivan Drugs of Carlinville
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN SULLIVAN (PRESIDENT)
(217) 854-6121
Entity
Organization
Contact information
Practice address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131
Mailing address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054005698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022864
PK
—
Enumeration date
05/15/2006
Last updated
01/20/2022
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