Organization
BOROWIAK IGA FOODLINER INC
Active
Other names
Borowiak IGA Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ALAN DRAEGE RPH (PHARMACIST IN CHARGE MANAGER)
(618) 242-7025
Entity
Organization
Contact information
Practice address
500 S 10TH ST, MT VERNON, IL 62864
(618) 242-7025
(618) 242-8473
Mailing address
500 S 10TH ST, MT VERNON, IL 62864
(618) 242-7025
(618) 242-8473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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