Organization
BAKERS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHUPENUS (PHARMACIST)
(217) 742-3149
Entity
Organization
Contact information
Practice address
29 S MAIN ST, WINCHESTER, IL 62694-1249
(217) 742-3149
(217) 742-5219
Mailing address
29 S MAIN ST, WINCHESTER, IL 62694-1249
(217) 742-3149
(217) 742-5219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05407129
IL
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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