Organization · Type 2 NPI

Shawnee Health Service and Development Corp

Community/Retail Pharmacy · Carbondale, IL

NPI number 1760253447 Active

Practice location

400 S Lewis Ln Ste 200
Carbondale, IL 62901-3547

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1760253447
Entity type: Organization (Type 2)
Issued: Jan 11, 2024
Last updated: Jul 26, 2024
Status: Active

Other names

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Shawnee Health Pharmacy Carbondale · doing business as
Shawnee Health Pharmacy Carbondale · doing business as

Authorized official

Christina Carney
Chief Executive Officer
(618) 956-9521

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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 1760253447

Shawnee Health Service and Development Corp's National Provider Identifier is 1760253447, issued on Jan 11, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Carbondale, IL. The record was last updated on Jul 26, 2024.