Organization
ILLINI CLINIC PHARMACY INC
Active
Parent organization
ILLINI CLINIC PHARMACY, INC.
Other names
Illini Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINI CLINIC PHARMACY, INC.
Authorized official
DONNA MERIDETH (OWNER/PHARMACIST IN CHARGE)
(309) 629-4506
Entity
Organization
Contact information
Practice address
855 ILLINI DR STE 200, SILVIS, IL 61282-2904
(309) 792-7002
(309) 792-7003
Mailing address
855 ILLINI DR STE 200, SILVIS, IL 61282-2904
(309) 792-7002
(309) 792-7003
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
07/01/2020
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