ALTON MENTAL HEALTH CENTER NPI 1720132566

NPI Information

ALTON MENTAL HEALTH CENTER is a long term care pharmacy pharmacy in Alton, 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. ALTON MENTAL HEALTH CENTER NPI is 1720132566. The provider is registered as an organization entity type.
The provider Other Name Is Illinois Department Of Human Services.

The provider's business location address is:

4500 COLLEGE AVE
ALTON, IL
ZIP 62002-051
Phone: (618) 474-3408
Fax: (618) 474-3959

The provider's authorized official is Douglas Guy Cheatham .
The authorized official title is Pharmacy Manager and has the following contact phone number (618) 474-3408.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 12/5/2018.

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:

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