Organization
ILLINI CLINIC PHARMACY INC
Active
Parent organization
ILLINI CLINIC PHARMACY
Other names
Alwood Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINI CLINIC PHARMACY
Authorized official
DONNA MERIDETH (OWNER/PHARMACIST IN CHARGE)
(309) 629-4506
Entity
Organization
Contact information
Practice address
211 S 1ST STREET, ALPHA, IL 61413
(309) 629-4506
(309) 629-2611
Mailing address
PO BOX 355, ALPHA, IL 61413-0355
(309) 629-4506
(309) 629-2611
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
07/01/2020
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