institution
The Bleeding And Clotting Disorders Institute
Pharmacy in Peoria, Illinois
NPI 1962783431

The Bleeding And Clotting Disorders Institute is a Pharmacy based in Peoria, IL. The Bleeding And Clotting Disorders Institute practices in Peoria, IL. The NPI Number for The Bleeding And Clotting Disorders Institute is 1962783431 and holds a License No. 054-017718 (Illinois).

The current practice location address for The Bleeding And Clotting Disorders Institute is 427 W Northmoor Rd, Peoria, IL and can be reached out via phone at 309-692-5337 and via fax at 309-693-3913.

Location: 427 W Northmoor Rd, Peoria, IL, 61614-3542
institution
Provider Profile Details
NPI Number
1962783431
Provider Name
The Bleeding And Clotting Disorders Institute
Credential
Provider Entity Type
Organization
Address
427 W Northmoor Rd, Peoria, IL, 61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
Provider Enumeration Date
08/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398680716 05 IL
7225372 01 BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
427 W Northmoor Rd
City
State
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider Business Mailing Address Details
Address
427 W Northmoor Rd
City
State
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
054-017718 (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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