Organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Active
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITAL
Other names
Pinckneyville Community Hospital Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Authorized official
KARA JO CARSON MACC, CPA, CHFP (CHIEF FINANCIAL OFFICER)
(618) 357-5902
Entity
Organization
Contact information
Practice address
5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3342
(618) 357-2187
(618) 357-8888
Mailing address
5383 STATE ROUTE 154, PINCKNEYVILLE, IL 62274-3342
(618) 357-2187
(618) 357-8888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141307
MEDICARE
—
01
—
1454127
NABP
IL
Enumeration date
03/29/2006
Last updated
01/26/2016
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