Douglas & Ogden Medical Center Pharmacy Inc
Douglas & Ogden Medical Center Pharmacy Inc is a Community/Retail Pharmacy in Manteno, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24 W First StManteno, IL 60950-1239
Phone: (630) 969-0036
Fax: (630) 852-6545
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|---|
| Community/Retail Pharmacy | Taxonomy 3336C0003X · Licence 054009256 (IL) |
Record details
| NPI number | 1760543581 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clarke Kueltzo — President · (630) 969-0036 |
| Other names | Douglas Main Pharmacy; Main Street Pharmacy |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | June 12, 2019 |
| Mailing address | 24 W First St, Manteno, IL 60950-1239 |