Holistic Pharmacy Service Inc

NPI 1003210402 - Pharmacy - 333600000X

NPI Details
NPI 1003210402
Enumeration Date 10/14/2014
Last Updated 10/14/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BEAUX BEAUX
Position PHARMACIST
Phone (217) 525-0058
Fax (217) 525-0034
Practice Location
133 N GRAND AVE E
SPRINGFIELD IL, 62702-3859, US
Phone (217) 525-0058
Fax (217) 525-0034
Business Location
133 N GRAND AVE E
SPRINGFIELD IL, 62702-3859, US
Phone (217) 525-0058
Fax (217) 525-0034
Toxanomy
Taxonomy Code 333600000X
License State Illinois
License Number 054.017739
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According to our database, Holistic Pharmacy Service Inc NPI is 1003210402, taxonomy code is 333600000X and license number is 054.017739, license state is located at Illinois. Holistic Pharmacy Service Inc physically located at 133 N Grand Ave E, Springfield IL, 62702-3859. NPI Number 1033115704 has the healthcare provider type.

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1003210402 NPI number is provided on an as is basis without warranty of any kind. 1003210402 is maintained by the National Plan & Provider Enumeration System. The contents of Holistic Pharmacy Service Inc are for informational purposes only.