Organization
HEALTH PLUS OF ILLINOIS INC
Active
Other names
LITCHFIELD MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BISHOP RPH (OWNER)
(217) 324-6574
Entity
Organization
Contact information
Practice address
308 N STATE ST, LITCHFIELD, IL 62056-2003
(217) 324-6574
(217) 324-4494
Mailing address
308 N STATE ST, LITCHFIELD, IL 62056-2003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1441586
OTHER ID NUMBER
—
Enumeration date
02/12/2007
Last updated
04/20/2008
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