Illini Clinic Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Alpha, IL
NPI 1992265235 · NPPES record last updated Jul 1, 2020
Key facts
- NPI
- 1992265235
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- ILLINI CLINIC PHARMACY INC
- Practice address
- 211 S 1St Street
Alpha, IL 61413 - Phone
- (309) 629-4506
- Fax
- (309) 629-2611
- NPI assigned
- Mar 22, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ILLINI CLINIC PHARMACY
Authorized official
- Name
- Donna Merideth
- Title
- Owner/Pharmacist in Charge
- Phone
- (309) 629-4506
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Illini Clinic Pharmacy Inc
- Part of
- Illini Clinic Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
211 S 1St Street
Alpha, IL 61413
Mailing address
PO Box 355
Alpha, IL 61413-0355
Phone (309) 629-4506
Other names
- Alwood Pharmacy
Other providers in Alpha, IL
- Artemio L Cajigal
- Genesis Health System
- Jennifer Jane Hook
- Illini Clinic Pharmacy Inc
- Samantha E Janecek
- Lewis Enterprises, Inc
- John C Lewis
- Donna R Merideth
All providers in Alpha, IL · Long Term Care 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 1, 2020. 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.