Organization
FELKER PHARMACY INC
Active
Other names
CHARLEYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK PFEIFFER (PIC)
(815) 946-4073
Entity
Organization
Contact information
Practice address
110 E MASON ST, POLO, IL 61064-1522
(815) 946-4073
(815) 946-2763
Mailing address
110 E MASON ST, POLO, IL 61064-1522
(815) 946-4073
(815) 946-2763
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5413694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017268
PK
—
Enumeration date
01/30/2007
Last updated
01/18/2017
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