11 South Medical Pharmacy, Llc
Pharmacy
1000 Eleven South, Ste 2b, Columbia
Illinois, 62236
618-281-3500 11 South Medical Pharmacy, Llc is a Pharmacy in Columbia, Illinois. It is located at 1000 Eleven South, Ste 2b, Columbia and it's customer support contact number is 618-281-3500. The authorized person of 11 South Medical Pharmacy, Llc is Kelsie Lider, PHARMD who is Pharmacy Manager of the pharmacy and his contact number is 618-281-3500. Active license number of 11 South Medical Pharmacy, Llc is 054020346 for Pharmacy in Illinois. 11 South Medical Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
11 South Medical Pharmacy, Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
11 South Medical Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 11 South Medical Pharmacy, Llc |
| Type: | Pharmacy |
| Location: | 1000 Eleven South, Ste 2b, Columbia,
Illinois, 62236 |
| Phone: | 618-281-3500 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kelsie Lider |
| Credentials: | PHARMD |
| Position: | Pharmacy Manager |
| Contact Number: | 618-281-3500 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1194247080 |
| NPI Enumeration Date: | 12 Jul, 2017 |
| NPI Last Update On: | 28 Jul, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 11 South Medical Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 054020346 | Illinois | Primary | |
Medicare Enrollment:
11 South Medical Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7719250612 | O20170828004005 | 11 South Medical Pharmacy Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 Eleven S Ste 2b,
Columbia, Illinois |
| Zip: | 62236-1079 |
| Phone Number: | 618-281-3500 |
Patients can reach 11 South Medical Pharmacy, Llc at
1000 Eleven South, Ste 2b, Columbia, Illinois or can
call on customer care at 618-281-3500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.