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DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC NPI 1568970556


NPI Information

NPI: 1568970556
Provider Name: DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
5832 N KNOXVILLE AVE STE E
PEORIA, IL
ZIP 61614
Phone: (309) 679-2047
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DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC is a pharmacist in Peoria, IL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC NPI is 1568970556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5832 N KNOXVILLE AVE STE E
PEORIA, IL
ZIP 61614-304
Phone: (309) 679-2047
Fax: (309) 679-2051

The provider's authorized official is Corey Dolan .
The authorized official title is Owner/pharmacy Manager and has the following contact phone number (309) 679-2047.

The enumeration date for this NPI number is 1/12/2018 and was last updated on 3/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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