Organization
PLUM STREET PHARMACY
Active
Other names
Plum Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DON GEE (PHARMACIST/OWNER)
(618) 382-8330
Entity
Organization
Contact information
Practice address
311 PLUM ST, CARMI, IL 62821-1632
(618) 382-8400
(618) 382-5700
Mailing address
311 PLUM ST, CARMI, IL 62821-1632
(618) 382-8400
(618) 382-5700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.017833
IL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132742
PK
—
05
—
349683015001
—
IL
Enumeration date
12/07/2011
Last updated
03/09/2015
Update your record
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