Organization
KIRBY FOODS INC
Active
Other names
Kirby Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LORI STEWART (CFO)
(217) 352-2600
Entity
Organization
Contact information
Practice address
101 S MERCHANT ST, EFFINGHAM, IL 62401
(217) 342-4301
(217) 342-5597
Mailing address
101 S MERCHANT ST, EFFINGHAM, IL 62401-2425
(217) 342-4301
(217) 342-5597
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054006911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017591
PK
—
05
—
370732738001
—
IL
Enumeration date
08/10/2006
Last updated
12/12/2019
Update your record
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