Organization
JOHN'S PHARMACY INC
Active
Parent organization
JOHN'S PHARMACY INC
Other names
The Sullivan Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN'S PHARMACY INC
Authorized official
TONY L JONES RPH (PRESIDENT/PHARMACIST)
(217) 728-2331
Entity
Organization
Contact information
Practice address
102 E HARRISON ST, SULLIVAN, IL 61951-2002
(217) 728-2331
(217) 728-2223
Mailing address
102 E HARRISON ST, SULLIVAN, IL 61951-2002
(217) 728-2331
(217) 728-2223
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932208907
—
IL
Enumeration date
10/12/2021
Last updated
10/12/2021
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