Organization
GOSLIN DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT ALLEN GOSLIN RPH (PRESIDENT)
(815) 538-4761
Entity
Organization
Contact information
Practice address
1212 13TH AVE, MENDOTA, IL 61342
(815) 538-4761
(815) 539-5876
Mailing address
1212 13TH AVE, MENDOTA, IL 61342
(815) 538-4761
(815) 539-5876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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