County Of Clay
Pharmacy, Community/Retail Pharmacy in Flora, IL. Organization (NPI-2).
NPI number1235990276
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1235990276
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Clay
- Organization subpart
- Yes
- Enumeration date
- Jan 17, 2024
- Certification date
- Jan 17, 2024
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Cch Pharmacy (Doing Business As)
Practice location
929 Stacy Burk DriveFlora, IL 62839
Phone 618-662-1600 · Fax 618-844-8625
Mailing address
Po Box 280Flora, IL 62839-0280
Phone 618-662-2131 · Fax 618-662-1482
Authorized official
Jennifer Venable
Cfo
6186622191
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