Organization
SENIOR CARE PHARMACY SERVICES LLC
Active
Other names
MIDWEST SENIOR MINISTRIE SOLE MBR, SENIOR CARE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE BITNER (BILLING OFFICE SUPERVISOR)
(217) 762-3950
Entity
Organization
Contact information
Practice address
1212 BEAR LN, MONTICELLO, IL 61856-9581
(217) 762-3950
(207) 762-7039
Mailing address
1212 BEAR LN, MONTICELLO, IL 61856-9581
(217) 762-3950
(207) 762-7039
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
054.016956
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200498260A
—
IA
01
—
2021606
PK
—
05
—
232963282004
—
IL
05
—
606162303
—
MO
Enumeration date
06/22/2006
Last updated
04/18/2023
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