Organization · Type 2 NPI
Physician Services Corporation of Southern Illinois Inc
Non-Pharmacy Dispensing Site · Mount Vernon, IL
NPI number
1154725976
Active
Practice location
602 S 42nd St Ste B
Mount Vernon, IL 62864-6264
Fax (618) 242-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1154725976
Physician Services Corporation of Southern Illinois Inc's National Provider Identifier is 1154725976, issued on Oct 22, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Mount Vernon, IL. The record was last updated on Oct 22, 2014.