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HOLISTIC PHARMACY SERVICES INC NPI 1235426057


NPI Information

NPI: 1235426057
Provider Name: HOLISTIC PHARMACY SERVICES INC

Doing Business As: THE MEDICINE SHOPPE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
133 E NORTH GRAND AVE
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 679-9244
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HOLISTIC PHARMACY SERVICES INC is a long term care pharmacy pharmacy in Springfield, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HOLISTIC PHARMACY SERVICES INC NPI is 1235426057. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Shoppe Pharmacy.

The provider's business location address is:

133 E NORTH GRAND AVE
SPRINGFIELD, IL
ZIP 62702-859
Phone: (217) 679-9244
Fax: (217) 525-0034

The provider's authorized official is Beaux Cole .
The authorized official title is President and has the following contact phone number (217) 679-9244.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 7/10/2019.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy054017739ILLINOISNo
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12132238OTHERPK

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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