Organization
MERCER COUNTY HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PUTNAM (CEO)
(309) 582-5301
Entity
Organization
Contact information
Practice address
409 N.W. 9TH AVE, PHARMACY, ALEDO, IL 61231
(309) 582-5301
(309) 582-3737
Mailing address
409 N.W. 9TH AVE, ALEDO, IL 61231
(309) 582-5301
(309) 582-3737
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452755
NCPDP
IL
Enumeration date
10/10/2006
Last updated
08/22/2020
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