EXTENDED PHARMACY LLC NPI 1700014446

NPI Information

EXTENDED PHARMACY LLC is a long term care pharmacy pharmacy in Peoria, 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. EXTENDED PHARMACY LLC NPI is 1700014446. The provider is registered as an organization entity type.
The provider Is Doing Business As Extended Pharmacy Llc.

The provider's business location address is:

121 STATE ST STE 1A
PEORIA, IL
ZIP 61602-547
Phone: (309) 676-4831
Fax: (309) 676-7014

The provider's authorized official is Eric Spires .
The authorized official title is Manager and has the following contact phone number (309) 676-4831.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 3/14/2023.

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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