Organization
LOCAL HEALTH, INC
Active
Other names
Elmwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA DZELIL PHARM.D (SUPERVISOR)
(815) 715-8502
Entity
Organization
Contact information
Practice address
108 E MAIN ST, ELMWOOD, IL 61529-7963
(309) 742-2611
(309) 742-3261
Mailing address
108 E MAIN ST, ELMWOOD, IL 61529-7963
(309) 742-2611
(309) 742-3261
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154480
PK
—
05
—
362746843001
—
IL
Enumeration date
07/07/2005
Last updated
09/14/2022
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