Organization
SUPERIOR LTC RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGAN MILLER (PHARMACY MANAGER)
(217) 762-3950
Entity
Organization
Contact information
Practice address
1212 BEAR LN, MONTICELLO, IL 61856-9581
(217) 762-3950
Mailing address
1212 BEAR LN, MONTICELLO, IL 61856-9581
(217) 762-3950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/08/2025
Last updated
12/30/2025
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