| NPI | 1841336450 |
|---|---|
| Doing Business As | MEDICINE STOP OF PEORIA |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTONACCI Pharmacist And President 309-685-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009135) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-04-12 |