The Bleeding and Clotting Disorders Institute
The Bleeding and Clotting Disorders Institute is a Pharmacy in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
427 W Northmoor RdPeoria, IL 61614-3542
Phone: (309) 692-5337
Fax: (309) 693-3913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 054-017718 (IL) |
|---|
Record details
| NPI number | 1962783431 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Tarantino — Medical Director · (309) 692-5337 |
| NPI enumerated | August 29, 2011 |
| Last updated in NPPES | July 30, 2021 |
| Certification date | June 29, 2021 |
| Mailing address | 427 W Northmoor Rd, Peoria, IL 61614-3542 |
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