Polo Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Polo, IL
NPI 1174096028 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1174096028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- POLO PHARMACY, INC.
- Practice address
- 111 E Mason St
Polo, IL 61064-1521 - Phone
- (779) 226-1129
- Fax
- (779) 226-1187
- NPI assigned
- Jan 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Karrie Sabinson
- Title
- Owner
- Phone
- (815) 745-3700
National Provider Directory
Locations
111 E Mason St
Polo, IL 61064
Phone (779) 226-1129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
111 E Mason St
Polo, IL 61064-1521
Mailing address
PO Box 334
Polo, IL 61064-0334
Phone (779) 226-1129
Other names
- Polo Pharmacy
Other providers in Polo, IL
- Polo Community Ambulance Service
- Polo Community School District #222
- Polo Fire Protection District
- Polo Hco LLC
- Polo Hco LLC
- Mikalah Rhodes
- Steven George Sorenson
- Jeanette M Trotter
- Robert Keith Webb
- Karen Sue Williams
All providers in Polo, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. 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.