Illini Pharmacy Services

LBN: Illini Pharmacy Services Llc
Illini Pharmacy Services is an health care organization with primary practice located at 675 W Imboden Dr , Decatur IL 62521-9068. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Illini Pharmacy Services Llc can be contacted via phone (217) 791-6340, or through Shasteen, Darrin via phone (217) 791-6340.

Contact Information

Primary practice address
675 W Imboden Dr Decatur IL 62521-9068
Phone: (217) 791-6340
Fax: (217) 791-6568
Website:
Map and Directions
Authorized official contact:
Name: Shasteen, Darrin BS PHARMACY
Phone: (217) 791-6340

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 054.017565 Illinois

Profile Details

NPI number 1205146917
LBN Legal business name Illini Pharmacy Services Llc
DBA Doing business as Illini Pharmacy Services
Authorized official Shasteen, Darrin BS PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2010
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205146917 NPPES
Other 2127198 PK

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