Organization
BULLDOG ALLIANCE TWO
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L NEWELL R.PH. (PRESIDENT)
(309) 266-5315
Entity
Organization
Contact information
Practice address
201 S MAIN ST, MORTON, IL 61550-2031
(309) 266-5315
(309) 266-8907
Mailing address
201 S MAIN ST, MORTON, IL 61550-2031
(309) 266-5315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
Other
Enumeration date
10/21/2005
Last updated
08/22/2020
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