Bogard Drug No. 5, Inc. in Peoria - Community/retail Pharmacy
Bogard Drug No. 5, Inc. - NPI 1578513834
Bogard Drug No. 5, Inc. is a Community/retail Pharmacy in Peoria, Illinois. Bogard Drug No. 5, Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Bogard Drug No. 5, Inc. is 1578513834. The last update date is 2020-08-22.
Bogard Drug No. 5, Inc.'s current location address is 1102 S Western Ave, Peoria, Illinois. You can contact this provider via phone number 3096374487 and fax number 3096379141. The mailing address for Bogard Drug No. 5, Inc. is 1102 S Western Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bogard Drug No. 5, Inc. |
|---|---|
| Address | 1102 S Western Ave, Peoria, Illinois |
| Phone Number | 3096374487 |
| Fax Number | 3096379141 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORPORATE |
|---|---|
| Authorized Official Name | Nimmo T Annette |
| Telephone Number | 3096374487 |
NPI Number Detail
| NPI Number | 1578513834 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1102 S Western Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616053356 |
| Phone Number | 3096374487 |
| Fax Number | 3096379141 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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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 |
|---|---|---|---|
| 1411191 | IL | NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bogard Drug No. 5, Inc. by the Centers for Medicare & Medicaid Services?
The Bogard Drug No. 5, Inc. has been assigned the NPI (National Provider Identifier) 1578513834 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bogard Drug No. 5, Inc. located?
The Bogard Drug No. 5, Inc. is located at 1102 S Western Ave, Peoria, IL 616053356.
What is Bogard Drug No. 5, Inc.'s area of expertise and its corresponding taxonomy classification?
The Bogard Drug No. 5, Inc.'s field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Bogard Drug No. 5, Inc. receive its 1578513834 assignment from the Centers for Medicare & Medicaid Services?
The Bogard Drug No. 5, Inc. was assigned its 1578513834 by the Centers for Medicare & Medicaid Services on 2006-05-10.
When was the information regarding Bogard Drug No. 5, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bogard Drug No. 5, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.