Organization
JAMES L. YOUNGBLOOD BELTLINE FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L YOUNGBLOOD (OWNER)
(618) 462-0052
Entity
Organization
Contact information
Practice address
2711 CORNER CT, ALTON, IL 62002-5328
(618) 462-0052
(618) 462-8114
Mailing address
2711 CORNER CT, ALTON, IL 62002-5328
(618) 462-0052
(618) 462-8114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54-5740
IL
Other
Enumeration date
03/21/2007
Last updated
11/17/2010
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