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Organization

CARLINVILLE HEALTH & PRESCRIPTIONS SERVICES INC

Active
Other names
Sullivan Drugs of Carlinville
Organization subpart
No

Provider details

NPI number
Authorized official
OWEN SULLIVAN (PRESIDENT)
(217) 854-6121
Entity
Organization

Contact information

Practice address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131
Mailing address
920 W MAIN ST, CARLINVILLE, IL 62626-1200
(217) 854-6121
(217) 854-6131

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
054005698
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022864
PK
Enumeration date
05/15/2006
Last updated
01/20/2022
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