Organization
TREMONT VILLAGE PHARMACY INC
Active
Other names
MEDICINE SHOPPE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEICH (OWNER PHARMACIST)
(309) 925-7177
Entity
Organization
Contact information
Practice address
220 W PEARL STREET A, TREMONT, IL 61568
(309) 925-7177
(309) 925-7008
Mailing address
220 W PEARL STREET A, TREMONT, IL 61568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
32446055
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475056
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
03/07/2023
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