Organization
WILMINGTON PHARMACY LLC
Active
Other names
Wilmington Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE KUELTZO PHARMD (PRESIDENT)
(815) 815-9261
Entity
Organization
Contact information
Practice address
600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
(815) 926-1770
(815) 476-9476
Mailing address
600 W BALTIMORE ST, WILMINGTON, IL 60481-1281
(815) 926-1770
(815) 476-9476
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up