Organization
KIRKS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W KIRKPATRICK RPH (OWNER/RPH)
(618) 724-2741
Entity
Organization
Contact information
Practice address
114 W MARKET ST, CHRISTOPHER, IL 62822-1222
(618) 724-2741
(618) 724-9360
Mailing address
114 W MARKET ST, CHRISTOPHER, IL 62822-1222
(618) 724-2741
(618) 724-9360
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370987925001
—
IL
Enumeration date
01/19/2017
Last updated
01/19/2017
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