Organization
DC3 PHARMACY PARTNERS INC
Active
Other names
Warren County Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GRACEY RPH (PHARMACY MANAGER / PIC)
(309) 712-5957
Entity
Organization
Contact information
Practice address
1120 N 6TH ST, MONMOUTH, IL 61462-9672
(309) 734-6979
(309) 734-6982
Mailing address
1120 N 6TH ST, MONMOUTH, IL 61462-9672
(309) 734-6979
(309) 734-6982
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.016746
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483673
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/09/2009
Last updated
05/27/2011
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