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Organization
JOHN'S PHARMACY INC
Active
Organization
JOHN'S PHARMACY INC
Active
Other names
The Sullivan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY LYNN JONES RPH (PRESIDENT/OWNER)
(217) 728-2331
Entity
Organization
Contact information
Practice address
102 E HARRISON ST, SULLIVAN, IL 61951-2002
(217) 728-2331
(217) 728-2223
Mailing address
102 E HARRISON ST, SULLIVAN, IL 61951-2002
(217) 728-2331
(217) 728-2223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054-013367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405213
NCPDP (NABP) #
IL
Enumeration date
09/22/2006
Last updated
07/11/2014
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