NPI Provider: 1538166137
Contact Name: perillo j theodore
Position: pres
Phone: (217) 932-4004
The Pharmacie Shoppe, Inc Information:
The Pharmacie Shoppe, Inc organization have npi 1538166137, taxonomy code is 333600000X with license number is 47458 in . This Business address located in 202 W Edgar Ave, Casey, IL 62420 Illinois.
Practice Location
Address: 202 W Edgar Ave, Casey, IL 62420
Phone: (217) 932-4004
Business Location
Address: 202 W Edgar Ave, Casey, IL 62420
Phone: (217) 932-4004
Fax: (217) 932-2396
Taxonomy
Taxonomy Code: 333600000X
License Number: 47458
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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