Organization
AGELESS RX SYSTEMS LLC
Active
Other names
Sullivans Drugs LTC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ALLAN PHARM D (OWNER)
(217) 839-2877
Entity
Organization
Contact information
Practice address
103 N JERSEY ST STE 101, GILLESPIE, IL 62033-1403
(217) 839-2877
(217) 839-3233
Mailing address
103 N JERSEY ST STE 101, GILLESPIE, IL 62033-1403
(217) 839-2877
(217) 839-3233
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/09/2025
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