District Drugs & Compounding Center LTD.
Organization Active NPI Pharmacy · Rock Island, IL
NPI 1043371529 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1043371529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 054-013815 (IL)
- Legal business name
- DISTRICT DRUGS & COMPOUNDING CENTER LTD.
- Practice address
- 319 18TH St
Rock Island, IL 61201-8715 - Phone
- (309) 786-8431
- Fax
- (309) 794-6481
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. James Thomas Perry Jr., R.PH.
- Title
- President
- Phone
- (309) 786-8431
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 054-013815 | IL | Yes |
Addresses
Primary practice location
319 18TH St
Rock Island, IL 61201-8715
Mailing address
319 18TH St
Rock Island, IL 61201-8715
Phone (309) 786-8431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515577 | Medicaid | IA |
Other names
- District Drugs
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.