Organization
KEWANEE HOSPITAL PHARMACY
Active
Parent organization
KEWANEE HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEWANEE HOSPITAL
Authorized official
MRS. MARGARET GUSTAFSON (CHEIF EXECUTIVE OFFICER)
(309) 852-7520
Entity
Organization
Contact information
Practice address
1051 W SOUTH ST, KEWANEE, IL 61443-8354
(309) 852-7890
Mailing address
1051 WEST SOUTH STREET, P O BOX 747, KEWANEE, IL 61443-0747
(309) 852-7890
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054017368
IL
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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