Organization
PEORIA COUNTY DRUGS, INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE R BEEKMAN RPH (OWNER PHARMACIST)
(309) 691-9800
Entity
Organization
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 100, PEORIA, IL 61615-9541
(309) 691-9800
(309) 691-3305
Mailing address
8600 N STATE ROUTE 91, SUITE 100, PEORIA, IL 61615-9541
(309) 691-9800
(309) 691-3305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1474523
NCPDP #
IL
Enumeration date
09/29/2006
Last updated
03/07/2023
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