Organization · Type 2 NPI

Illinois Department of Human

Long Term Care Pharmacy · Kankakee, IL

NPI number 1528111424 Active

Practice location

100 E Jeffery St
Kankakee, IL 60901-5018

Call (815) 939-8272 Map

Fax (815) 939-8274

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003X054.020222 (IL)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

41 other providers at this address

About NPI 1528111424

Illinois Department of Human's National Provider Identifier is 1528111424, issued on Jan 22, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Kankakee, IL. The record was last updated on Jul 13, 2022.