Organization
SAVAGE PHARMACY INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SAVAGE RPH (OWNER/PRESIDENT)
(217) 245-1551
Entity
Organization
Contact information
Practice address
200 W MORTON AVE, JACKSONVILLE, IL 62650-2812
(217) 245-1551
(217) 245-6825
Mailing address
200 W MORTON AVE, JACKSONVILLE, IL 62650-2812
(217) 245-1551
(217) 245-6825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054014971
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1448364
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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