NPIMap

Denman Country Drug

Organization Active NPI Pharmacist · Golden, IL

NPI 1629099197 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1629099197
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
Legal business name
DENMAN COUNTRY DRUG
Practice address
102 Prairie Mills Rd
Golden, IL 62339-0070
Phone
(217) 696-2820
Fax
(217) 696-2821
NPI assigned
Jul 21, 2006
Organization subpart
No

Authorized official

Name
Mr. Alan Kyle Hart, R.PH.
Title
Chief Pharmacist
Phone
(217) 696-2820

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

National Provider Directory

Tax ID family
Blessing Hosp Cardiolog (35 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP		 183500000X IL Yes

Addresses

Primary practice location

102 Prairie Mills Rd
Golden, IL 62339-0070

Mailing address

102 Prairie Mills Rd
P.O. Box #70
Golden, IL 62339-0070
Phone (217) 696-2820

Other providers in Golden, IL

All providers in Golden, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.