Comprehensive Bleeding Disorders Center
Pharmacy
4727 N Sheridan Rd, Peoria
Illinois, 61614-5925
309-688-1345 309-688-0917
Comprehensive Bleeding Disorders Center is a Pharmacy in Peoria, Illinois. It is located at 4727 N Sheridan Rd, Peoria and it's customer support contact number is 309-688-1345. The authorized person of Comprehensive Bleeding Disorders Center is Mrs. Mary L Davis who is Executive Director of the pharmacy and her contact number is 309-688-1345. Active license number of Comprehensive Bleeding Disorders Center is 054014575 for Pharmacy in Illinois. Comprehensive Bleeding Disorders Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Comprehensive Bleeding Disorders Center 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:
Comprehensive Bleeding Disorders Center 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: | Comprehensive Bleeding Disorders Center |
| Type: | Pharmacy |
| Location: | 4727 N Sheridan Rd, Peoria,
Illinois, 61614-5925 |
| Phone: | 309-688-1345 |
| Fax: | 309-688-0917 |
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: | Mrs. Mary L Davis |
| Position: | Executive Director |
| Contact Number: | 309-688-1345 |
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: | 1457347502 |
| NPI Enumeration Date: | 23 Sep, 2005 |
| NPI Last Update On: | 08 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Comprehensive Bleeding Disorders Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 054014575 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 21623343 | Other | Illinois | Bcbs Of Il |
Medicare Enrollment:
Comprehensive Bleeding Disorders Center 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 |
| 8426094095 | O20050705000900 | Comprehensive Bleeding Disorders Center | 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: | 4727 N Sheridan Rd,
Peoria, Illinois |
| Zip: | 61614-5925 |
| Phone Number: | 309-688-1345 |
| Fax Number: | 309-688-0917 |
Patients can reach Comprehensive Bleeding Disorders Center at
4727 N Sheridan Rd, Peoria, Illinois or can
call on customer care at 309-688-1345.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.