Marissa Food Mart
Marissa Food Mart is a Pharmacy in Marissa, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
700 E Lyons StMarissa, IL 62257
Phone: (618) 295-2317
Fax: (618) 295-2318
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 054.009766 (IL) |
|---|---|
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1003980111 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Marissa Food Mart Inc |
| Authorized official | Gail Laskowski — Secretary Of Corp. · (618) 295-2317 |
| Other names | Dba Marissa Discount Pharmacy |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | April 15, 2015 |
| Mailing address | 700 E. Lyons St., Marissa, IL 62257 |