Extended Pharmacy Llc is not a DME supplier for medicare equipments and products.
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:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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