Organization
EISELE'S CASEYVILLE PHARM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES V EISELE RPH (OWNER)
(618) 345-0188
Entity
Organization
Contact information
Practice address
200 W LINCOLN AVE, CASEYVILLE, IL 62232-1438
(618) 345-9702
Mailing address
PO BOX 335, CASEYVILLE, IL 62232-0335
(618) 345-9702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54-7377
IL
Other
Enumeration date
01/07/2006
Last updated
01/11/2013
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