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Organization

LETITRIDE, INC.

Active
Other names
Chenoa rx
Organization subpart
No

Provider details

NPI number
Authorized official
CHENOA PHARMACY RPH (OWNER)
(815) 945-4211
Entity
Organization

Contact information

Practice address
1000 E CEMETERY AVE, CHENOA, IL 61726-1298
(815) 945-4211
(815) 945-7466
Mailing address
1000 E CEMETERY AVE, CHENOA, IL 61726-1298
(815) 945-4211
(815) 945-7466

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019487
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2153927
PK
Enumeration date
09/20/2006
Last updated
07/25/2025
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