Pekin Prohealth Inc in Pekin - Community/retail Pharmacy
Pekin Prohealth Inc - NPI 1790892818
Pekin Prohealth Inc is a Community/retail Pharmacy in Pekin, Illinois. Pekin Prohealth Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Pekin Prohealth Inc is 1790892818. The last update date is 2017-04-03.
Pekin Prohealth Inc's current location address is 600 S 13th St, Pekin, Illinois. You can contact this provider via phone number 3093479455 and fax number 3093471886. The mailing address for Pekin Prohealth Inc is 600 S 13th St, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pekin Prohealth Inc |
|---|---|
| Address | 600 S 13th St, Pekin, Illinois |
| Phone Number | 3093479455 |
| Fax Number | 3093471886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haley Bob |
| Telephone Number | 3093471151 |
NPI Number Detail
| NPI Number | 1790892818 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2017-04-03 |
Provider Mailing Address Detail
| Address | 600 S 13th St |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615544936 |
| Phone Number | 3093479455 |
| Fax Number | 3093471886 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54009001 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1453810 | IL | NCPDP |
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What is the Pekin Prohealth Inc's unique identification number?
The Pekin Prohealth Inc has been assigned the NPI (National Provider Identifier) Number 1790892818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Pekin Prohealth Inc located?
The Pekin Prohealth Inc is located at 600 S 13Th St, Pekin, IL 615544936.
What is Pekin Prohealth Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pekin Prohealth Inc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did Pekin Prohealth Inc receive its 1790892818 assignment from the Centers for Medicare & Medicaid Services?
The Pekin Prohealth Inc was assigned its 1790892818 on 2006-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Pekin Prohealth Inc most recently updated or refreshed?
The details pertaining to the Pekin Prohealth Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-03.
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