Brent Family Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Stronghurst, IL
NPI 1942501432 · NPPES record last updated Apr 9, 2012
Key facts
- NPI
- 1942501432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054.017495 (IL)
- Legal business name
- BRENT FAMILY PHARMACY INC
- Practice address
- 101 S Division St # 150
Stronghurst, IL 61480-5033 - Phone
- (309) 924-2300
- Fax
- (309) 924-2302
- NPI assigned
- Nov 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Natalie Johnson, RPH
- Title
- Pharmacist in Charge
- Phone
- (309) 924-2300
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054.017495 | IL | Yes |
Addresses
Primary practice location
101 S Division St # 150
Stronghurst, IL 61480-5033
Mailing address
101 S Division St
Box 150
Stronghurst, IL 61480-5033
Phone (309) 924-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1485069 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- BRENT FAMILY HEALTHMART PHARMACY
Other providers in Stronghurst, IL
- Robert L Anderson
- Jeanne Kay Barr
- Amanda Baucom
- Henderson County Ambulance Service Inc
- Henderson County Retirement Center, Inc
- Henderson County Retirement Center, Inc.
- Henderson County Rural Health Center Inc
- Kjersten Heron
All providers in Stronghurst, 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 Apr 9, 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.