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Comprehensive Bleeding Disorders Center
Pharmacy in Peoria, Illinois
NPI 1457347502

Comprehensive Bleeding Disorders Center is a Pharmacy based in Peoria, IL. Comprehensive Bleeding Disorders Center practices in Peoria, IL. The NPI Number for Comprehensive Bleeding Disorders Center is 1457347502 and holds a License No. 054014575 (Illinois).

The current practice location address for Comprehensive Bleeding Disorders Center is 4727 N Sheridan Rd, Peoria, IL and can be reached out via phone at 309-688-1345 and via fax at 309-688-0917.

Location: 4727 N Sheridan Rd, Peoria, IL, 61614-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457347502
Provider Name
Comprehensive Bleeding Disorders Center
Credential
Provider Entity Type
Organization
Address
4727 N Sheridan Rd, Peoria, IL, 61614-5925
Phone Number
309-688-1345
Fax Number
309-688-0917
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21623343 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
4727 N Sheridan Rd
City
Peoria
State
Illinois
Zip
61614-5925
Phone Number
309-688-1345
Fax Number
309-688-0917
person
Provider Business Mailing Address Details
Address
4727 N Sheridan Rd
City
Peoria
State
Illinois
Zip
61614-5925
Phone Number
309-688-1345
Fax Number
309-688-0917
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054014575 (Illinois)
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.
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