Organization
PRESCRIPTION SHOPPE OF CLINTON INC
Active
Other names
PRESCRIPTION SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HIMSTEDT RPH (PRESIDENT)
(217) 935-8333
Entity
Organization
Contact information
Practice address
211 W VAN BUREN ST, CLINTON, IL 61727-2235
(217) 935-8333
(217) 935-6243
Mailing address
211 W VAN BUREN ST, CLINTON, IL 61727-2235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1431181
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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