Organization · Type 2 NPI

Groceries of Southern Illinois LLC

Long Term Care Pharmacy · Freeburg, IL

NPI number 1770142580 Active

Practice location

10 Southgate Ctr
Freeburg, IL 62243-1541

Fax (618) 539-3089

Specialties and licenses

Taxonomy	Code	License
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.

3 other providers at this address

NPI record

NPI: 1770142580
Entity type: Organization (Type 2)
Issued: Jun 6, 2019
Last updated: Jun 1, 2022
Status: Active

Other names

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Freeburg Pharmacy · doing business as
Freeburg Pharmacy · doing business as

Authorized official

Bryan Victor Schneider, PharmD
Director of Pharmacy
(618) 207-3186

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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 1770142580

Groceries of Southern Illinois LLC's National Provider Identifier is 1770142580, issued on Jun 6, 2019. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Freeburg, IL. The record was last updated on Jun 1, 2022.