Stacy'S Family Pharmacy

LBN: Pine Street Pharmacies
Stacy'S Family Pharmacy is an health care organization with primary practice located at 709 Woodlawn Rd , Lincoln IL 62656-1445. 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. Pine Street Pharmacies can be contacted via phone (217) 735-1972, or through Stacy, Bruce via phone (217) 735-1972.

Contact Information

Primary practice address
709 Woodlawn Rd Lincoln IL 62656-1445
Phone: (217) 735-1972
Fax: (217) 732-9827
Website:
Map and Directions
Authorized official contact:
Name: Stacy, Bruce RPH
Phone: (217) 735-1972

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.016477 Illinois

Profile Details

NPI number 1588714893
LBN Legal business name Pine Street Pharmacies
DBA Doing business as Stacy'S Family Pharmacy
Authorized official Stacy, Bruce RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 8th, 2015 - about 11 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 1588714893 NPPES
Other 2019679 PK

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