Organization
NEW VENTURE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ANDERSON (PHARMACIST)
(618) 628-8868
Entity
Organization
Contact information
Practice address
815 LINCOLN HWY STE 103, FAIRVIEW HEIGHTS, IL 62208-2230
(618) 628-8868
(618) 628-9247
Mailing address
815 LINCOLN HWY STE 103, FAIRVIEW HEIGHTS, IL 62208-2230
(618) 628-8868
(618) 628-9247
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0054013607
IL
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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