Organization
BARNATO PHARMACY OF PEORIA LLC
Active
Other names
BARNATO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BARNATO (OWNER PHARMACIST)
(309) 689-9999
Entity
Organization
Contact information
Practice address
5001 N BIG HOLLOW RD, PEORIA, IL 61615-3538
(309) 689-9999
(309) 692-9033
Mailing address
5001 N BIG HOLLOW RD, PEORIA, IL 61615-3538
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019222
PK
—
05
—
371207012002
—
IL
Enumeration date
01/23/2007
Last updated
06/21/2013
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