| NPI | 1609879097 |
|---|---|
| Doing Business As | PHYSICIAN'S PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN WELCH Phrmcy Mgr 217-876-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054011351) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2013-05-23 |