Goreville Professional Pharmacy

LBN: Camarato Drug Inc
Goreville Professional Pharmacy is an health care organization with primary practice located at 901 S Broadway , Goreville IL 62939-2477. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Camarato Drug Inc can be contacted via phone (618) 995-1555, or through Camarato, Matthew via phone (618) 995-1555.

Contact Information

Primary practice address
901 S Broadway Goreville IL 62939-2477
Phone: (618) 995-1555
Fax: (618) 995-1553
Website:
Map and Directions
Authorized official contact:
Name: Camarato, Matthew RPH
Phone: (618) 995-1555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054016439 Illinois
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1245493865
LBN Legal business name Camarato Drug Inc
DBA Doing business as Goreville Professional Pharmacy
Authorized official Camarato, Matthew RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2008
Last updated Jun 16th, 2021 - about 3 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 1245493865 NPPES
Other 2023696 PK

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