Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Other names
Shawnee Health Pharmacy Carbondale
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CARNEY (CHIEF EXECUTIVE OFFICER)
(618) 956-9521
Entity
Organization
Contact information
Practice address
400 S LEWIS LN STE 200, CARBONDALE, IL 62901-3547
(618) 519-9200
Mailing address
400 S LEWIS LN STE 200, CARBONDALE, IL 62901-3547
(618) 519-9200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
07/26/2024
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