Southern Illinois Healthcare Foundation, Inc.
Community/Retail Pharmacy
1200 N East St, Olney
Illinois, 62450-2432
618-395-8561 Southern Illinois Healthcare Foundation, Inc. is a Community/Retail Pharmacy in Olney, Illinois. It is located at 1200 N East St, Olney and it's customer support contact number is 618-395-8561. The authorized person of Southern Illinois Healthcare Foundation, Inc. is Mr. Larry Mcculley who is Ceo of the pharmacy and his contact number is 618-332-0694. Active license number of Southern Illinois Healthcare Foundation, Inc. is 054017914 for Community/Retail Pharmacy in Illinois. Southern Illinois Healthcare Foundation, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southern Illinois Healthcare Foundation, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Southern Illinois Healthcare Foundation, Inc. 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: | Southern Illinois Healthcare Foundation, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 1200 N East St, Olney,
Illinois, 62450-2432 |
| Phone: | 618-395-8561 |
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: | Mr. Larry Mcculley |
| Position: | Ceo |
| Contact Number: | 618-332-0694 |
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: | 1063767424 |
| NPI Enumeration Date: | 20 Jul, 2012 |
| NPI Last Update On: | 07 Oct, 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 Southern Illinois Healthcare Foundation, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054017914 | 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 |
| IL7545 | Other | Illinois | Wps Medicare Part B |
| 1487164 | Other | Illinois | Ncpdp |
Medicare Enrollment:
Southern Illinois Healthcare Foundation, Inc. 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 |
| 1456256874 | O20121012000463 | Southern Illinois Healthcare Foundation Inc | 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: | 2041 Goose Lake Rd,
Sauget, Illinois |
| Zip: | 62206-2822 |
| Phone Number: | 618-332-0953 |
| Fax Number: | 618-332-2487 |
Patients can reach Southern Illinois Healthcare Foundation, Inc. at
1200 N East St, Olney, Illinois or can
call on customer care at 618-395-8561.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.