Organization · Type 2 NPI

Alton Mental Health Center

Long Term Care Pharmacy · Alton, IL

NPI number 1720132566 Active

Practice location

4500 College Ave
Alton, IL 62002-5051

Fax (618) 474-3959

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital	283Q00000X	059.007697 (IL)
Long Term Care Pharmacy Primary	3336L0003X	None listed

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.

8 other providers at this address

Other long term care pharmacy providers in Alton

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NPI record

NPI: 1720132566
Entity type: Organization (Type 2)
Issued: Jan 22, 2007
Last updated: Jul 31, 2024
Status: Active

Other names

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Illinois Department of Human Services · other name
Illinois Department of Human Services · other name

Authorized official

Dr. Michael Vincent Santini, PharmD
Pharmacy Manager
(618) 474-3408

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720132566

Alton Mental Health Center's National Provider Identifier is 1720132566, issued on Jan 22, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Alton, IL. The record was last updated on Jul 31, 2024.