Organization
POINTCORE, INC.
Active
Other names
MEDIPARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CARL SEHRING (CEO, OSF HEALTHCARE SYSTEM)
(309) 655-7689
Entity
Organization
Contact information
Practice address
420 NE GLEN OAK AVE, STE 102, PEORIA, IL 61603
(309) 655-3799
(309) 655-3072
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009376
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003
—
IL
Enumeration date
08/05/2006
Last updated
07/12/2024
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