JESSICA WHELAN LLC NPI 1417570920

NPI Information

JESSICA WHELAN LLC is a compounding pharmacy pharmacy in Dupo, IL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. JESSICA WHELAN LLC NPI is 1417570920. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Holon Inclusive Health System.

The provider's business location address is:

301 S MAIN ST
DUPO, IL
ZIP 62239-325
Phone: (314) 470-1220
Fax: (833) 914-0432

The provider's authorized official is Jessica Ann Whelan .
The authorized official title is Ceo and has the following contact phone number (314) 470-1220.

The enumeration date for this NPI number is 5/19/2020 and was last updated on 9/1/2021.

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:

Other Identifiers

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