Solvera Healthcare Center INC
Pharmacy, Clinic Pharmacy in Peoria, IL. Organization (NPI-2).
NPI number1164099198
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1164099198
- Entity type
- Organization (NPI-2)
- Legal business name
- Solvera Healthcare Center INC
- Organization subpart
- Yes
- Enumeration date
- Jun 8, 2021
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Solvera Pharmacy (Doing Business As)
Practice location
3525 N University StPeoria, IL 61604-1324
Phone 309-886-9172
Mailing address
Po Box 9727Peoria, IL 61612-9727
Phone 309-886-9172
Authorized official
Patrick Caplis
Ceo
3098869172
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