Organization
HOLISTIC PHARMACY SERVICE INC
Active
Other names
Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAUX COLE PHARMD (PHARMACIST)
(217) 525-0058
Entity
Organization
Contact information
Practice address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
(217) 525-0058
(217) 525-0034
Mailing address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
(217) 525-0058
(217) 525-0034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054.017739
IL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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