Organization
C & D PHARMACY SERVICES INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MIKUS RPH (OWNER PHARMACIST)
(217) 525-0058
Entity
Organization
Contact information
Practice address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
(217) 525-0058
(217) 525-0034
Mailing address
133 N GRAND AVE E, SPRINGFIELD, IL 62702-3859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447247
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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