Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holistic Pharmacy Services of Jacksonville Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1942606132

Holistic Pharmacy Services of Jacksonville Inc is a Durable Medical Equipment & Medical Supplies in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Morton Ave
Jacksonville, IL 62650-2812
Phone: (217) 245-1551
Fax: (217) 245-6825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054018947 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1942606132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beaux Cole — President · (217) 371-2925
Other names The Medicine Shoppe Pharmacy
NPI enumeratedNovember 14, 2014
Last updated in NPPESFebruary 21, 2017
Mailing address200 W Morton Ave, Jacksonville, IL 62650-2812

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