Organization
AMERICAN PHARMACY OF IL INC
Active
Other names
Alwan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W MINESINGER RPH (PRESIDENT)
(309) 676-6333
Entity
Organization
Contact information
Practice address
311 N WESTERN AVE, WEST PEORIA, IL 61604-5638
(309) 676-6333
(309) 676-1928
Mailing address
311 N WESTERN AVE, PEORIA, IL 61604
(309) 676-6333
(309) 676-1928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
051035850
IL
3336C0004X
Compounding Pharmacy
FA0212237
IL
Other
Enumeration date
05/17/2006
Last updated
08/05/2008
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