Illini Clinic Pharmacy Inc

LBN: Illini Clinic Pharmacy Inc
Illini Clinic Pharmacy Inc is an health care organization with primary practice located at 855 Illini Dr Suite 200, Silvis IL 61282-2907. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Illini Clinic Pharmacy Inc can be contacted via phone (309) 792-7002, or through Merideth, Jeffrey R via phone (309) 792-7002.

Contact Information

Primary practice address
855 Illini Dr Suite 200 Silvis IL 61282-2907
Phone: (309) 792-7002
Fax: (309) 792-7003
Website:
Map and Directions
Authorized official contact:
Name: Merideth, Jeffrey R RPH
Phone: (309) 792-7002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054013807 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1356561039
LBN Legal business name Illini Clinic Pharmacy Inc
DBA Doing business as
Authorized official Merideth, Jeffrey R RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 1st, 2020 - about 6 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.

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