Organization
PATRICK SCHLEICH
Active
Other names
Lena Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK GEORGE SCHLEICH R.PH. (OWNER)
(815) 369-4111
Entity
Organization
Contact information
Practice address
154 W MAIN ST, LENA, IL 61048-9247
(815) 369-4111
Mailing address
PO BOX 666, LENA, IL 61048-0666
(815) 369-4111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1424100
NCPDP
IL
Enumeration date
11/27/2007
Last updated
04/20/2008
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