Robert Gollon in Nokomis - Community/retail Pharmacy
Robert Gollon - NPI 1477632826
Robert Gollon is a Community/retail Pharmacy in Nokomis, Illinois. Robert Gollon practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Robert Gollon is 1477632826. The last update date is 2015-03-17.
Robert Gollon's current location address is 116 W State St, Nokomis, Illinois. You can contact this provider via phone number 2175632701 and fax number 2175638337. The mailing address for Robert Gollon is 116 W State St, Nokomis, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Robert Gollon |
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Address | 116 W State St, Nokomis, Illinois |
Phone Number | 2175632701 |
Fax Number | 2175638337 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Gollon B Robert |
Credentials | RPH |
Telephone Number | 2175632701 |
NPI Number Detail
NPI Number | 1477632826 |
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Provider Enumeration Date | 2006-11-06 |
Last Updated Date | 2015-03-17 |
Provider Mailing Address Detail
Address | 116 W State St |
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City | Nokomis |
State | Illinois (IL) |
Post Code | 620751657 |
Phone Number | 2175632701 |
Fax Number | 2175638337 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | 54011896 |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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What is the Robert Gollon's unique identification number?
The Robert Gollon has been assigned the NPI (National Provider Identifier) Number 1477632826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Robert Gollon?
The Robert Gollon is situated at 116 W State St, in the city of Nokomis, state of IL, with the zip code 620751657.
What is Robert Gollon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Gollon's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
When did the Robert Gollon receive its 1477632826?
The Robert Gollon was issued its 1477632826 on 2006-11-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Robert Gollon's details last updated?
The information pertaining to the Robert Gollon, including its address, specialty, and other details, was most recently updated on 2015-03-17.