Organization
COSGRAVE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL H GARNER R.PH. (CORPORATE SECRETARY)
(309) 792-9527
Entity
Organization
Contact information
Practice address
908 1ST AVE, SILVIS, IL 61282-1047
(309) 792-9527
(309) 792-9457
Mailing address
908 1ST AVE, SILVIS, IL 61282-1047
(309) 792-9527
(309) 792-9457
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1430646
NCPDP NUMBER
IL
Enumeration date
02/09/2007
Last updated
08/22/2020
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