Princeville Pharmacy

LBN: Princeville Pharmacy Llc
Princeville Pharmacy is an health care organization with primary practice located at 206 E Main St , Princeville IL 61559-7516. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Princeville Pharmacy Llc can be contacted via phone (309) 385-4955, or through Sherman, Curtis via phone (309) 446-3292.

Contact Information

Primary practice address
206 E Main St Princeville IL 61559-7516
Phone: (309) 385-4955
Fax: (309) 385-1561
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Curtis RPH
Phone: (309) 446-3292

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054014436 Illinois
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1750455127
LBN Legal business name Princeville Pharmacy Llc
DBA Doing business as Princeville Pharmacy
Authorized official Sherman, Curtis RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 30th, 2011 - 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 1750455127 NPPES
Other 1426471 NCPDP PROVIDER IDENTIFICATION NUMBER

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