Organization
GROCERIES OF SOUTHERN ILLINOIS LLC
Active
Other names
freeburg pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN VICTOR SCHNEIDER PHARMD (DIRECTOR OF PHARMACY)
(618) 207-3186
Entity
Organization
Contact information
Practice address
10 SOUTHGATE CTR, FREEBURG, IL 62243-1541
(618) 207-3186
(618) 539-3089
Mailing address
10 SOUTHGATE CTR, FREEBURG, IL 62243-1541
(618) 207-3186
(618) 539-3089
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/01/2022
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