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Organization

PRINCETON PHARMACY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA STEFANI (PRESIDENT)
(815) 875-1237
Entity
Organization

Contact information

Practice address
610 N MAIN STREET, PRINCETON, IL 61356-2006
(815) 875-1237
(815) 872-1747
Mailing address
610 N MAIN STREET, PRINCETON, IL 61356-2006
(815) 875-1237
(815) 872-1747

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54014933
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1430090
NCPDP
Enumeration date
05/10/2007
Last updated
08/08/2013
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