Comprehensive Bleeding Disorders Center in Peoria - Pharmacy
Comprehensive Bleeding Disorders Center - NPI 1457347502
Comprehensive Bleeding Disorders Center is a Pharmacy in Peoria, Illinois. Comprehensive Bleeding Disorders Center practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Comprehensive Bleeding Disorders Center is 1457347502. The last update date is 2008-08-08.
Comprehensive Bleeding Disorders Center's current location address is 4727 N Sheridan Rd, Peoria, Illinois. You can contact this provider via phone number 3096881345 and fax number 3096880917. The mailing address for Comprehensive Bleeding Disorders Center is 4727 N Sheridan Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Bleeding Disorders Center |
|---|---|
| Address | 4727 N Sheridan Rd, Peoria, Illinois |
| Phone Number | 3096881345 |
| Fax Number | 3096880917 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Davis L Mary |
| Telephone Number | 3096881345 |
NPI Number Detail
| NPI Number | 1457347502 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2008-08-08 |
Provider Mailing Address Detail
| Address | 4727 N Sheridan Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145925 |
| Phone Number | 3096881345 |
| Fax Number | 3096880917 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 54014575 |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21623343 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the Comprehensive Bleeding Disorders Center's 1457347502?
The Comprehensive Bleeding Disorders Center's NPI (National Provider Identifier) Number is 1457347502. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Comprehensive Bleeding Disorders Center's facilities are situated?
The facilities of Comprehensive Bleeding Disorders Center are physically located at the following address: 4727 N Sheridan Rd, Peoria, IL, 616145925.
What is the Comprehensive Bleeding Disorders Center's area of specialization and corresponding taxonomy classification?
The Comprehensive Bleeding Disorders Center's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date was the 1457347502 assigned to Comprehensive Bleeding Disorders Center?
The Comprehensive Bleeding Disorders Center was issued its 1457347502 on 2005-09-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Comprehensive Bleeding Disorders Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Comprehensive Bleeding Disorders Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-08.