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Princeville Pharmacy Llc
Compounding Pharmacy in Princeville, Illinois
NPI 1750455127

Princeville Pharmacy Llc is a Compounding Pharmacy based in Princeville, IL and is specialized in Compounding Pharmacy. Princeville Pharmacy Llc practices in Princeville, IL. The NPI Number for Princeville Pharmacy Llc is 1750455127 and holds a License No. (Illinois).

The current practice location address for Princeville Pharmacy Llc is 206 E Main St, Princeville, IL and can be reached out via phone at 309-385-4955 and via fax at 309-385-1561.

Location: 206 E Main St, Princeville, IL, 61559-0566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750455127
Provider Name
Princeville Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
206 E Main St, Princeville, IL, 61559-0566
Phone Number
309-385-4955
Fax Number
309-385-1561
Provider Enumeration Date
11/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1426471 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
206 E Main St
City
Princeville
State
Illinois
Zip
61559-7516
Phone Number
309-385-4955
Fax Number
309-385-1561
person
Provider Business Mailing Address Details
Address
206 E Main St
City
Princeville
State
Illinois
Zip
61559-7516
Phone Number
309-385-4955
Fax Number
309-385-1561
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
054014436 (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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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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