Organization
JSP PHARMACY LLC
Active
Other names
BRIGHTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH PEIPERT RPH (OWNER MANAGER)
(618) 372-3313
Entity
Organization
Contact information
Practice address
908 N MAIN ST, BRIGHTON, IL 62012-1050
(618) 372-3313
(618) 372-8332
Mailing address
PO BOX 788, BRIGHTON, IL 62012-0788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054015925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022810
PK
—
Enumeration date
08/24/2006
Last updated
03/21/2016
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