Organization
KHOURY PHARMACY INC
Active
Other names
KHOURY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KHOURY (OWNER)
(618) 281-7133
Entity
Organization
Contact information
Practice address
101 N MAIN ST, COLUMBIA, IL 62236-1701
(618) 281-7133
(618) 281-3410
Mailing address
101 N MAIN ST, COLUMBIA, IL 62236-1701
(618) 281-7133
(618) 281-3410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.014547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022619
PK
—
Enumeration date
09/30/2006
Last updated
03/31/2016
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