| NPI | 1093883290 |
|---|---|
| Doing Business As | PRECKSHOT PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | COREY DOLAN Pharmacist 309-679-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 4394) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054.020600) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 2099-43) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-07-19 |