Organization
CHRISTIE PHARMACY CHAMPAIGN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PIERCE D.P.M. (MEDICAL DIRECTOR/OFFICER)
(217) 366-1270
Entity
Organization
Contact information
Practice address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-1225
Mailing address
1801 WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-1225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
BC8731374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371226604001
—
IL
Enumeration date
10/04/2006
Last updated
12/15/2008
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