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K&s Pharmacies Of Southern Illinois Ltd
Pharmacy in Sparta, Illinois
NPI 1649264722

K&s Pharmacies Of Southern Illinois Ltd is a Pharmacy based in Sparta, IL. K&s Pharmacies Of Southern Illinois Ltd practices in Sparta, IL. The NPI Number for K&s Pharmacies Of Southern Illinois Ltd is 1649264722 and holds a License No. 054015396 (Illinois).

The current practice location address for K&s Pharmacies Of Southern Illinois Ltd is 157 W Broadway St, Sparta, IL and can be reached out via phone at 618-443-2715 and via fax at 618-443-6218.

Location: 157 W Broadway St, Sparta, IL, 62286-1619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649264722
Provider Name
K&s Pharmacies Of Southern Illinois Ltd
Credential
Provider Entity Type
Organization
Address
157 W Broadway St, Sparta, IL, 62286-1619
Phone Number
618-443-2715
Fax Number
618-443-6218
Provider Enumeration Date
09/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054015396 01 IL STATE LICENSE NUMBER
032008353 01 IL STATE CONTROLLED SUBSTANE
1427310 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
157 W Broadway St
City
Sparta
State
Illinois
Zip
62286-1619
Phone Number
618-443-2715
Fax Number
618-443-6218
person
Provider Business Mailing Address Details
Address
157 W Broadway St
City
Sparta
State
Illinois
Zip
62286-1619
Phone Number
618-443-2715
Fax Number
618-443-6218
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054015396 (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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