Organization
KIMMEL-CHAPLAIN PHARMACY LTD
Active
Other names
Kimmel-Chaplain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GIACONE (RPH/OWNER)
(618) 438-2822
Entity
Organization
Contact information
Practice address
315 N MAIN ST, BENTON, IL 62812-1358
(618) 438-2822
(618) 435-2885
Mailing address
315 N MAIN ST, BENTON, IL 62812-1358
(618) 438-2822
(618) 435-2885
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054018920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149192
PK
—
Enumeration date
11/14/2006
Last updated
11/15/2020
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