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Amicare Pharmacy, Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Moline, IL

NPI 1487720140 · NPPES record last updated Jul 10, 2015

Key facts

NPI
1487720140
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
203001033 (IL)
Legal business name
AMICARE PHARMACY, INC
Practice address
4101 John Deere Rd
Moline, IL 61265-6790
Phone
(309) 517-6710
Fax
(309) 517-6708
NPI assigned
Nov 27, 2006
Organization subpart
No

Authorized official

Name
Donna Merideth, RPH
Title
Manager
Phone
(309) 517-6710

National Provider Directory

Locations

4101 John Deere Rd
Moline, IL 61265
Phone (309) 765-1600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203001033 IL Yes

Addresses

Primary practice location

4101 John Deere Rd
Moline, IL 61265-6790

Mailing address

4101 John Deere Rd
Moline, IL 61265-6790
Phone (309) 517-6710

Other identifiers

IdentifierTypeStateIssuer
0113120MedicaidIA
2021706OtherPK
363807756001MedicaidIL

Other names

  • HART MEDICAL SUPPLY Doing business as

Other providers in Moline, IL

All providers in Moline, IL · Durable Medical Equipment & Medical Supplies in Illinois

Sources for this page

Verify at the official NPI Registry.