Organization
GENEVA PHARMACY LLC
Active
Other names
Geneva Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE KUELTZO PHARMD (PRESIDENT)
(331) 265-6136
Entity
Organization
Contact information
Practice address
501 E STATE ST, GENEVA, IL 60134-2338
(331) 265-6136
(331) 265-6137
Mailing address
501 E STATE ST, GENEVA, IL 60134-2338
(331) 265-6136
(331) 265-6137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/15/2021
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