Organization · Type 2 NPI

Extended Living Pharmacy LLC

Long Term Care Pharmacy · Forsyth, IL

NPI number 1992899306 Active

Practice location

338 W Marion Ave
Forsyth, IL 62535-1064

Fax (217) 875-7081

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Long Term Care Pharmacy Primary	3336L0003X	054016055 (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.

NPI record

NPI: 1992899306
Entity type: Organization (Type 2)
Issued: Oct 3, 2006
Last updated: Mar 13, 2019
Status: Active

Other names

<unavail>
Extended Living Pharmacy LLC · doing business as
Extended Living Pharmacy LLC · doing business as

Authorized official

Jeffrey Aubry, RPH
Manager
(217) 855-8378

Verify this record

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.

Is this your record? How to update it.

About NPI 1992899306

Extended Living Pharmacy LLC's National Provider Identifier is 1992899306, issued on Oct 3, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Forsyth, IL. The record was last updated on Mar 13, 2019.