Organization
KREMER PHARMACY INC
Active
Other names
Kremer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE KREMER (PHARMACIST/OWNER)
(217) 343-4633
Entity
Organization
Contact information
Practice address
206A N PEARL ST, TEUTOPOLIS, IL 62467-1134
(217) 857-3000
(217) 857-3008
Mailing address
206A N PEARL ST, PO BOX 275, TEUTOPOLIS, IL 62467-1134
(217) 857-3000
(217) 857-3008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017940
IL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
054017940
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136076
PK
—
Enumeration date
07/24/2012
Last updated
08/09/2016
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