| 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 |
| Remove 1003210402 NPI Number | |
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.
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