Medicine Stop Of Peoria

LBN: Antonacci Inc
Medicine Stop Of Peoria is an health care organization with primary practice located at 4410 N Knoxville Ave Ste A, Peoria IL 61614-6086. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Antonacci Inc can be contacted via phone (309) 685-5939, or through Antonacci, Robert via phone (309) 685-5939.

Contact Information

Primary practice address
4410 N Knoxville Ave Ste A Peoria IL 61614-6086
Phone: (309) 685-5939
Fax: (309) 685-5930
Website:
Map and Directions
Authorized official contact:
Name: Antonacci, Robert RPH
Phone: (309) 685-5939

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054009135 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1841336450
LBN Legal business name Antonacci Inc
DBA Doing business as Medicine Stop Of Peoria
Authorized official Antonacci, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Apr 12th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841336450 NPPES
Other 1454545 NCPDP PROVIDER IDENTIFICATION NUMBER

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