Moweaqua Pharmacy

LBN: Moweaqua Pharmacy Pc
Moweaqua Pharmacy is an health care organization with primary practice located at 620 N Putnam St , Moweaqua IL 62550-9482. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moweaqua Pharmacy Pc can be contacted via phone (217) 768-3832, or through Traster, Terry via phone (217) 768-3832.

Contact Information

Primary practice address
620 N Putnam St Moweaqua IL 62550-9482
Phone: (217) 768-3832
Fax: (217) 768-3077
Website:
Map and Directions
Authorized official contact:
Name: Traster, Terry PHARMD
Phone: (217) 768-3832

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.014967 Illinois

Profile Details

NPI number 1407806607
LBN Legal business name Moweaqua Pharmacy Pc
DBA Doing business as Moweaqua Pharmacy
Authorized official Traster, Terry PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Feb 20th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407806607 NPPES
Other 2017582 PK

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