Organization
DISTRICT DRUGS & COMPOUNDING CENTER LTD.
Active
Other names
District Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMAS PERRY JR. R.PH. (PRESIDENT)
(309) 786-8431
Entity
Organization
Contact information
Practice address
319 18TH ST, ROCK ISLAND, IL 61201-8715
(309) 786-8431
(309) 794-6481
Mailing address
319 18TH ST, ROCK ISLAND, IL 61201-8715
(309) 786-8431
(309) 794-6481
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054-013815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515577
—
IA
Enumeration date
12/12/2006
Last updated
10/30/2012
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