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PBCC PHARMACY LLC NPI 1366070476


NPI Information

NPI: 1366070476
Provider Name: PBCC PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1500 W WASHINGTON ST STE B
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 546-7100
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PBCC PHARMACY LLC is a pharmacy in Springfield, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PBCC PHARMACY LLC NPI is 1366070476. The provider is registered as an organization entity type.

The provider's business location address is:

1500 W WASHINGTON ST STE B
SPRINGFIELD, IL
ZIP 62702-756
Phone: (217) 546-7100

The provider's authorized official is Kristy Linn Ruiz .
The authorized official title is Pharmacist In Charge and has the following contact phone number (217) 679-5446.

The enumeration date for this NPI number is 4/1/2020 and was last updated on 2/24/2021.


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
13336S0011XPharmacySpecialty PharmacyNo
2333600000XPharmacyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.