Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Other names
Weber Medical Clinic Pharmacy, SIHF Healthcare - Olney, SIHF Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
1200 N EAST ST, OLNEY, IL 62450-2432
(618) 395-8561
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
(618) 332-2487
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054017914
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487164
NCPDP
IL
01
—
IL7545
WPS MEDICARE PART B
IL
Enumeration date
07/20/2012
Last updated
10/07/2025
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