ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI 1154475986

NPI Information

ILLINOIS DEPARTMENT OF HUMAN SERVICES is a long term care pharmacy pharmacy in Anna, IL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ILLINOIS DEPARTMENT OF HUMAN SERVICES NPI is 1154475986. The provider is registered as an organization entity type.
The provider Is Doing Business As Clyde Choate Mental Health Developmental Center.

The provider's business location address is:

1000 N MAIN ST
ANNA, IL
ZIP 62906-652
Phone: (618) 833-5161
Fax: (618) 833-3432

The provider's authorized official is Catherine Onstott .
The authorized official title is Pharmacy Manager and has the following contact phone number (618) 202-6708.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/7/2022.

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:

Other Identifiers

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