Organization
HAC 2, INC
Active
Other names
Uvanta Pharmacy of Central Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA G MATTERA RPH (PRESIDENT)
(217) 622-3674
Entity
Organization
Contact information
Practice address
1053 JASON PL, CHATHAM, IL 62629-2018
(217) 483-7431
(217) 483-7491
Mailing address
1053 JASON PL, CHATHAM, IL 62629-2018
(217) 483-7431
(217) 483-7491
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
93013469
IL
Other
Enumeration date
05/17/2006
Last updated
04/18/2012
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