| NPI | 1205146917 |
|---|---|
| Doing Business As | ILLINI PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | DARRIN SHASTEEN Owner 217-791-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054.017565) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-02-21 |