Organization
BECKS LONG TERM CARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON VINCENT KASIAR R.PH. (OWNER)
(618) 273-2612
Entity
Organization
Contact information
Practice address
1413 LOCUST STREET, ELDORADO, IL 62930
(618) 273-2612
(618) 273-5328
Mailing address
1413 LOCUST ST., ELDORADO, IL 62930
(618) 273-2612
(618) 273-8165
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054-018435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054018435
—
IL
Enumeration date
02/07/2014
Last updated
07/21/2022
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