Organization
MORONI DRUGS INC
Active
Other names
MORONI DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CHIAVENTONE RPH (OWNER)
(618) 942-2331
Entity
Organization
Contact information
Practice address
109 W MONROE ST, HERRIN, IL 62948-1743
(618) 942-2331
(618) 942-7621
Mailing address
109 W MONROE ST, HERRIN, IL 62948-1743
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1423362
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/30/2006
Last updated
04/20/2008
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