Organization
KY FOUR INC
Active
Other names
Prescriptions Plus
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NAVE (PHARMACIST)
(618) 588-3517
Entity
Organization
Contact information
Practice address
450 W HANOVER ST, NEW BADEN, IL 62265-1658
(618) 588-3517
(618) 588-4818
Mailing address
450 W HANOVER ST, NEW BADEN, IL 62265-1658
(618) 588-3517
(618) 588-4818
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054011204
IL
Other
Enumeration date
12/15/2006
Last updated
12/04/2008
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