Organization
GREENPARK PHARMACY INC
Active
Other names
GREEN PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GARNER RPH (OWNER/PHARMACIST)
(309) 792-1600
Entity
Organization
Contact information
Practice address
500 GREEN PARK AVE, COLONA, IL 61241-9620
(309) 792-1600
(309) 792-1625
Mailing address
PO BOX 50, COLONA, IL 61241-0050
(309) 792-1600
(309) 792-1625
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054013276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022752
PK
—
05
—
364094320001
—
IL
Enumeration date
07/30/2006
Last updated
04/01/2016
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