Organization
TJD ENTERPRISES LLC
Active
Other names
YORK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DOEHRING PHARM D (OWNER)
(618) 214-2209
Entity
Organization
Contact information
Practice address
107 E MAIN ST, MC LEANSBORO, IL 62859-1460
(618) 643-3524
(618) 643-2315
Mailing address
107 E MAIN ST, MC LEANSBORO, IL 62859-1460
(618) 643-3524
(618) 643-2315
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.015034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022663
PK
—
Enumeration date
10/20/2006
Last updated
07/15/2021
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