Organization
CARLINVILLE HEALTH & PRESCRIPTION SERVICES
Active
Other names
Sullivan Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN P SULLIVAN RPH (OWNER/PHARMACIST)
(217) 854-6121
Entity
Organization
Contact information
Practice address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131
Mailing address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
545698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
545698
PHARMACY LISCENSE NUMBER
IL
Enumeration date
12/13/2005
Last updated
08/22/2020
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