Organization · Type 2 NPI

11 South Medical Pharmacy, LLC

Pharmacy · Columbia, IL

NPI number 1194247080 Active

Practice location

1000 Eleven South, Ste 2B
Columbia, IL 62236

Mailing address

1000 Eleven S Ste 2B
Columbia, IL 62236-1079

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000X054020346 (IL)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1194247080

11 South Medical Pharmacy, LLC's National Provider Identifier is 1194247080, issued on Jul 12, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Columbia, IL. The record was last updated on Jul 28, 2017.