Organization
CHESTER MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE MOY PHARM D (PHARMACY MANAGER)
(618) 826-4571
Entity
Organization
Contact information
Practice address
1315 LEHMEN DR, CHESTER, IL 62233-2542
(618) 826-4571
(618) 826-5823
Mailing address
1315 LEHMEN DR, CHESTER, IL 62233-2542
(618) 826-4571
(618) 826-5823
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
059007736
IL
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/02/2019
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