Organization
DOC'S DRUGS LTC
Active
Other names
Doc's Drugs of Momence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK J SARTORIS B.S. RPH (DIRECTOR OF PHARMACY)
(815) 458-6104
Entity
Organization
Contact information
Practice address
2764 NORTH ROUTE 1-17, B, MOMENCE, IL 60954
(815) 472-3223
(815) 472-3253
Mailing address
2764 NORTH ROUTE 1-17, B, MOMENCE, IL 60954
(815) 472-3223
(815) 472-3253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
054014073
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482823
NCPDP
IL
Enumeration date
01/14/2009
Last updated
01/14/2009
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