Organization
JENNINGS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JENNINGS (PRESIDENT)
(618) 395-2144
Entity
Organization
Contact information
Practice address
1029 E MAIN ST, OLNEY, IL 62450-2625
(618) 395-2144
(618) 392-5075
Mailing address
1029 E MAIN ST, OLNEY, IL 62450-2625
(618) 395-2144
(618) 392-5075
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08070896
BCBS PROVIDER #
IL
Enumeration date
08/25/2005
Last updated
08/22/2020
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