11 SOUTH MEDICAL PHARMACY, LLC

COLUMBIA, IL
NPI1194247080
Entity TypeOrganization
Authorized ContactKELSIE LIDER
Pharmacy Manager
618-281-3500
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: IL  054020346)
Enumeration Date2017-07-12
Last Update Date2017-07-28
Business Address
11 SOUTH MEDICAL PHARMACY, LLC
1000 ELEVEN SOUTH STE 2B
COLUMBIA, IL 62236
Phone number: 618-281-3500
Mailing Address
11 SOUTH MEDICAL PHARMACY, LLC
1000 ELEVEN S STE 2B
COLUMBIA, IL 62236-1079
Phone number: 618-281-3500
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