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Dolan Central Illinois Compounding Llc
Compounding Pharmacy in Peoria, Illinois
NPI 1093883290

Dolan Central Illinois Compounding Llc is a Compounding Pharmacy based in Peoria, IL and is specialized in Compounding Pharmacy. Dolan Central Illinois Compounding Llc practices in Peoria, IL. The NPI Number for Dolan Central Illinois Compounding Llc is 1093883290 and holds a License No. 054.020600 (Illinois).

The current practice location address for Dolan Central Illinois Compounding Llc is 5832 N Knoxville Ave Ste E, Peoria, IL and can be reached out via phone at 309-679-2047 and via fax at 309-679-2051.

Location: 5832 N Knoxville Ave Ste E, Peoria, IL, 61614-4304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093883290
Provider Name
Dolan Central Illinois Compounding Llc
Credential
Provider Entity Type
Organization
Address
5832 N Knoxville Ave Ste E, Peoria, IL, 61614-4304
Phone Number
309-679-2047
Fax Number
309-679-2051
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2175601 01 PK
institution
Provider Business Practice Location Address Details
Address
5832 N Knoxville Ave Ste E
City
Peoria
State
Illinois
Zip
61614-4304
Phone Number
309-679-2047
Fax Number
309-679-2051
person
Provider Business Mailing Address Details
Address
5832 N Knoxville Ave Ste E
City
Peoria
State
Illinois
Zip
61614-4304
Phone Number
309-679-2047
Fax Number
309-679-2051
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
4394 (Iowa)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
2099-43 (Wisconsin)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
054.020600 (Illinois)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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