Organization · Type 2 NPI
Jessica Whelan LLC
Compounding Pharmacy · Dupo, IL
Practice location
301 S Main St
Dupo, IL 62239-1325
Fax (833) 914-0432
Mailing address
16549 Clayton Rd
Wildwood, MO 63011-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Nursing Care Agency | 251J00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Medical Specialty Clinic/Center | 261QM2500X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Research Clinic/Center | 261QR1100X | None listed |
| Rural Health Clinic/Center | 261QR1300X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | None listed |
| Specialty Pharmacy | 3336S0011X | None listed |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
Another provider at this address
About NPI 1417570920
Jessica Whelan LLC's National Provider Identifier is 1417570920, issued on May 19, 2020. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Dupo, IL. The record was last updated on Sep 1, 2021.