Dolan Central Illinois Compounding Llc
Compounding Pharmacy
5832 N Knoxville Ave Ste E, Peoria
Illinois, 61614-4304
309-679-2047 309-679-2051
Dolan Central Illinois Compounding Llc is a Compounding Pharmacy in Peoria, Illinois. It is located at 5832 N Knoxville Ave Ste E, Peoria and it's customer support contact number is 309-679-2047. The authorized person of Dolan Central Illinois Compounding Llc is Corey Dolan who is Pharmacist of the pharmacy and his contact number is 309-679-2047. Active license number of Dolan Central Illinois Compounding Llc is 4394 for Compounding Pharmacy in Iowa.
Dolan Central Illinois Compounding Llc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Dolan Central Illinois Compounding 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: | Dolan Central Illinois Compounding Llc |
| Type: | Compounding Pharmacy |
| Location: | 5832 N Knoxville Ave Ste E, Peoria,
Illinois, 61614-4304 |
| Phone: | 309-679-2047 |
| Fax: | 309-679-2051 |
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: | Corey Dolan |
| Position: | Pharmacist |
| Contact Number: | 309-679-2047 |
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: | 1093883290 |
| NPI Enumeration Date: | 04 Dec, 2006 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dolan Central Illinois Compounding Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | 4394 | Iowa | Primary | |
| Pharmacy | 054.020600 | Illinois | Secondary | |
| Community/Retail Pharmacy | 2099-43 | Wisconsin | Secondary | |
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 |
| 2175601 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5832 N Knoxville Ave Ste E,
Peoria, Illinois |
| Zip: | 61614-4304 |
| Phone Number: | 309-679-2047 |
| Fax Number: | 309-679-2051 |
Patients can reach Dolan Central Illinois Compounding Llc at
5832 N Knoxville Ave Ste E, Peoria, Illinois or can
call on customer care at 309-679-2047.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.