Organization
ASHMANN PRESCRIPTION PHCY INC
Active
Other names
ASHMANN PRESCRIPTION PHARMACY INCORPORATED
Organization subpart
No
Provider details
NPI number
Authorized official
LEONNARD LOCUS RPH (PRESIDENT)
(618) 344-2300
Entity
Organization
Contact information
Practice address
209 E MAIN ST, COLLINSVILLE, IL 62234-3006
(618) 344-2300
(618) 344-6561
Mailing address
209 E MAIN ST, COLLINSVILLE, IL 62234-3006
(618) 344-2300
(618) 344-6561
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054013298
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022501
PK
—
Enumeration date
08/20/2006
Last updated
09/14/2016
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