11 South Medical Pharmacy, Llc

LBN: 11 South Medical Pharmacy, Llc
11 South Medical Pharmacy, Llc is an health care organization with primary practice located at 1000 Eleven South Ste 2B, Columbia IL 62236. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. 11 South Medical Pharmacy, Llc can be contacted via phone (618) 281-3500, or through Lider, Kelsie via phone (618) 281-3500.

Contact Information

Primary practice address
1000 Eleven South Ste 2B Columbia IL 62236
Phone: (618) 281-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lider, Kelsie PHARMD
Phone: (618) 281-3500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 054020346 Illinois

Profile Details

NPI number 1194247080
LBN Legal business name 11 South Medical Pharmacy, Llc
DBA Doing business as
Authorized official Lider, Kelsie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 28th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers