Wightman Pharmacy Inc in Waterloo - Pharmacy

Wightman Pharmacy Inc - NPI 1831116763

Wightman Pharmacy Inc is a Pharmacy in Waterloo, Illinois. Wightman Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Wightman Pharmacy Inc is 1831116763. The last update date is 2017-04-06.

Wightman Pharmacy Inc's current location address is 127 S Main St, Waterloo, Illinois. You can contact this provider via phone number 6189396218 and fax number 6189394633. The mailing address for Wightman Pharmacy Inc is 127 S Main St, Waterloo, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wightman Pharmacy Inc
Address 127 S Main St, Waterloo, Illinois
Phone Number 6189396218
Fax Number 6189394633
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHAR
Authorized Official Name Wightman Steve
Credentials RPH
Telephone Number 6189396218

NPI Number Detail

NPI Number 1831116763
Provider Enumeration Date 2006-07-16
Last Updated Date 2017-04-06

Provider Mailing Address Detail

Address 127 S Main St
City Waterloo
State Illinois (IL)
Post Code 622981371
Phone Number 6189396218
Fax Number 6189394633

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2016696 PK

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FAQs about Wightman Pharmacy Inc

What is the unique 10-digit identification code assigned to Wightman Pharmacy Inc by the Centers for Medicare & Medicaid Services?

The Wightman Pharmacy Inc has been issued the NPI (National Provider Identifier) 1831116763, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Wightman Pharmacy Inc's physical address?

The Wightman Pharmacy Inc is physically located at 127 S Main St, in the city of Waterloo, IL, with the postal code 622981371.

What is the area of specialization for Wightman Pharmacy Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wightman Pharmacy Inc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.

On what date did the Wightman Pharmacy Inc receive its 1831116763 assignment from the Centers for Medicare & Medicaid Services?

The Wightman Pharmacy Inc was assigned its 1831116763 by the Centers for Medicare & Medicaid Services on 2006-07-16.

When was the Wightman Pharmacy Inc's information last updated?

The Wightman Pharmacy Inc's information was last updated on 2017-04-06.

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