Organization
ARKINS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN WILMOR RPH (RPH)
(815) 223-0460
Entity
Organization
Contact information
Practice address
1033 8TH ST, LA SALLE, IL 61301-1935
(815) 223-0460
(815) 223-0462
Mailing address
1033 8TH ST, LA SALLE, IL 61301-1935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054013897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1423932
OTHER ID NUMBER
—
05
—
3664097450001
—
IL
Enumeration date
01/11/2007
Last updated
11/06/2012
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