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Extended Living Pharmacy Llc
Long Term Care Pharmacy in Forsyth, Illinois
NPI 1992899306

Extended Living Pharmacy Llc is a Long Term Care Pharmacy based in Forsyth, IL and is specialized in Long Term Care Pharmacy. Extended Living Pharmacy Llc practices in Forsyth, IL. The NPI Number for Extended Living Pharmacy Llc is 1992899306 and holds a License No. (Illinois).

The current practice location address for Extended Living Pharmacy Llc is 338 W Marion Ave, Forsyth, IL and can be reached out via phone at 217-875-7147 and via fax at 217-875-7081.

Location: 338 W Marion Ave, Forsyth, IL, 62535-1064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992899306
Provider Name
Extended Living Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
338 W Marion Ave, Forsyth, IL, 62535-1064
Phone Number
217-875-7147
Fax Number
217-875-7081
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2023265 01 PK
institution
Provider Business Practice Location Address Details
Address
338 W Marion Ave
City
Forsyth
State
Illinois
Zip
62535-1064
Phone Number
217-875-7147
Fax Number
217-875-7081
person
Provider Business Mailing Address Details
Address
338 W Marion Ave
City
Forsyth
State
Illinois
Zip
62535-1064
Phone Number
217-875-7147
Fax Number
217-875-7081
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054016055 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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