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Petersburg Pharmacy, Inc
Community/Retail Pharmacy in Petersburg, Illinois
NPI 1538259403

Petersburg Pharmacy, Inc is a Community/Retail Pharmacy based in Petersburg, IL and is specialized in Community/Retail Pharmacy. Petersburg Pharmacy, Inc practices in Petersburg, IL. The NPI Number for Petersburg Pharmacy, Inc is 1538259403 and holds a License No. 054.015430 (Illinois).

The current practice location address for Petersburg Pharmacy, Inc is 1 Centre Dr, Petersburg, IL and can be reached out via phone at 217-632-7777 and via fax at 217-632-7618.

Location: 1 Centre Dr, Petersburg, IL, 62675-9467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538259403
Provider Name
Petersburg Pharmacy, Inc
Credential
Provider Entity Type
Organization
Address
1 Centre Dr, Petersburg, IL, 62675-9467
Phone Number
217-632-7777
Fax Number
217-632-7618
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3574-5932 01 IL STATE ID NUMBER
120007769 01 IL MEDCO PROVIDER NUMBER
320.008365 01 IL CONTROLLED SUB LIC #
1477745 01 IL NABP NUMBER
054.015430 01 IL DIV 1 PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Centre Dr
City
Petersburg
State
Illinois
Zip
62675-9467
Phone Number
217-632-7777
Fax Number
217-632-7618
person
Provider Business Mailing Address Details
Address
1 Centre Dr
City
Petersburg
State
Illinois
Zip
62675-9467
Phone Number
217-632-7777
Fax Number
217-632-7618
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054.015430 (Illinois)
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.
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