Extended Pharmacy Llc
Long Term Care Pharmacy
121 State St Ste 1a, Peoria
Illinois, 61602-1547
309-676-4831 309-676-7014
Extended Pharmacy Llc is a Long Term Care Pharmacy in Peoria, Illinois. It is located at 121 State St Ste 1a, Peoria and it's customer support contact number is 309-676-4831. The authorized person of Extended Pharmacy Llc is Eric Spires who is Manager of the pharmacy and his contact number is 309-676-4831. Active license number of Extended Pharmacy Llc is 054016704 for Long Term Care Pharmacy in Illinois.
Extended Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Extended 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: | Extended Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 121 State St Ste 1a, Peoria,
Illinois, 61602-1547 |
| Phone: | 309-676-4831 |
| Fax: | 309-676-7014 |
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: | Eric Spires |
| Position: | Manager |
| Contact Number: | 309-676-4831 |
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: | 1700014446 |
| NPI Enumeration Date: | 01 Jul, 2009 |
| NPI Last Update On: | 14 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Extended Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 054016704 | Illinois | Primary | |
| Pharmacy | 64002202A | Indiana | Secondary | |
| Long Term Care Pharmacy | 2015044792 | Missouri | 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 |
| 2120962 | 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: | 121 State St Ste 1a,
Peoria, Illinois |
| Zip: | 61602-1547 |
| Phone Number: | 309-676-4831 |
| Fax Number: | 309-676-7014 |
Patients can reach Extended Pharmacy Llc at
121 State St Ste 1a, Peoria, Illinois or can
call on customer care at 309-676-4831.
Comments/ Reviews:
Read all the reviews posted for Extended Pharmacy Llc below. You may also share your own experience with Extended Pharmacy Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.