Organization · Type 2 NPI
Illini Clinic Pharmacy Inc
Long Term Care Pharmacy · Alpha, IL
NPI number
1992265235
Active
Practice location
211 S 1st Street
Alpha, IL 61413
Fax (309) 629-2611
Mailing address
PO Box 355
Alpha, IL 61413-0355
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.
About NPI 1992265235
Illini Clinic Pharmacy Inc's National Provider Identifier is 1992265235, issued on Mar 22, 2019. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Alpha, IL. The record was last updated on Jul 1, 2020.