Organization
BAKER'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ALLAN SHUPENUS R.PH. (OWNER)
(217) 742-3149
Entity
Organization
Contact information
Practice address
29 S MAIN ST, WINCHESTER, IL 62694-1249
(217) 742-3149
(217) 742-5219
Mailing address
29 S MAIN ST, WINCHESTER, IL 62694-1249
(217) 742-3149
(217) 742-5219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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