Organization
KREMER PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE KREMER (OWNER/PIC)
(217) 857-3000
Entity
Organization
Contact information
Practice address
12 N 3RD ST, ALTAMONT, IL 62411-1408
(618) 483-5100
(618) 483-3344
Mailing address
PO BOX 275, TEUTOPOLIS, IL 62467-0275
(217) 857-3000
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167552
PK
—
Enumeration date
01/25/2017
Last updated
06/24/2024
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