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Organization

PEKIN PROHEALTH INC

Active
Other names
Park Court Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOB HALEY (PRESIDENT)
(309) 347-1151
Entity
Organization

Contact information

Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-9455
(309) 347-1886
Mailing address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-9455
(309) 347-1886

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054009001
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1453810
NCPDP
IL
Enumeration date
08/24/2006
Last updated
04/03/2017
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