Preckshot Professional Pharmacy
LBN: Dolan Central Illinois Compounding Llc
Preckshot Professional Pharmacy is an health care organization with primary practice located at 5832 N Knoxville Ave Ste E , Peoria IL 61614-4304. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Dolan Central Illinois Compounding Llc can be contacted via phone (309) 679-2047, or through Dolan, Corey via phone (309) 679-2047.
Contact Information
Primary practice address
5832 N Knoxville Ave Ste E
Peoria IL 61614-4304
Phone: (309) 679-2047
Fax: (309) 679-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 054.020600 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2099-43 | Wisconsin |
| Suppliers / Compounding Pharmacy | 3336C0004X | 4394 | Iowa |
Profile Details
| NPI number | 1093883290 |
|---|---|
| LBN Legal business name | Dolan Central Illinois Compounding Llc |
| DBA Doing business as | Preckshot Professional Pharmacy |
| Authorized official | Dolan, Corey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 19th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093883290 | NPPES |
| Other | 2175601 | PK |
Popular Providers
-
Catholic Health Initiatives-Iowa Corp
800 E 1St St Ste 1800, Ankeny IA 50021-2077 -
Nbn Infusions Inc
2 Pin Oak Ln Unit 250, Cherry Hill NJ 08003-1632 -
Bioscrip Pharmacy(Ny), Inc
1 Vermont Dr. , Lake Success NY 11042 -
Home I V Specialists Inc
200 S Main St , Jonesboro AR 72401 -
Antonacci Inc
4410 N Knoxville Ave Ste A, Peoria IL 61614-6086 -
Professional Pharmacy Of Pennsburg Inc
931 Main St , Pennsburg PA 18073-1603 -
Kalman Health & Wellness Inc
4625 N University St , Peoria IL 61614-5828 -
La Quinta Pharmacy
78150 Calle Tampico Ste 103, La Quinta CA 92253-2907