Coal City Pharmacy
Organization Active NPI Community/Retail Pharmacy · Coal City, IL
NPI 1497960744 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1497960744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054007459 (IL)
- Legal business name
- COAL CITY PHARMACY
- Practice address
- 175 S Broadway St
Coal City, IL 60416-1532 - Phone
- (815) 634-2391
- NPI assigned
- May 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Thomas E Beverly
- Title
- Owner
- Phone
- (815) 634-2391
Practitioners 1
-
Thomas E Beverly, R.PH.
National Provider Directory
Locations
175 S Broadway St
Coal City, IL 60416
Phone (815) 634-2391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054007459 | IL | Yes |
Addresses
Primary practice location
175 S Broadway St
Coal City, IL 60416-1532
Mailing address
175 S Broadway St
Coal City, IL 60416-1532
Other providers in Coal City, IL
- Caricare Mobile Medical LLC
- Jennifer Wai-Ling Chu
- Coal City Cu School Dist 1
- Coal City Dental Center
- Coal City Fire Protection District
- Daniel Jurak D O S C
- Brittany Eikey
- Encounter Health, PLLC
- Existential Counselor Societ LTD.
- Kalli Fuller
All providers in Coal City, 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 Jul 30, 2008. 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.