Prairie Compounding Pharmacies Corporation
Prairie Compounding Pharmacies Corporation is a Community/Retail Pharmacy in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
2801 N Main StDecatur, IL 62526-3233
Phone: (217) 412-4408
Fax: (217) 875-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054017639 (IL) |
|---|
Record details
| NPI number | 1578868360 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ann Rohde — President · (217) 412-4408 |
| Other names | Prairie Compounding Pharmacy |
| NPI enumerated | January 25, 2011 |
| Last updated in NPPES | March 24, 2011 |
| Mailing address | 3798 E Fulton Ave, Decatur, IL 62521-5053 |
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