Ageless Rx Systems Llc
Community/Retail Pharmacy
107 E Main St Ste D, Mount Olive
Illinois, 62069-1703
217-999-3016 217-999-3020
Ageless Rx Systems Llc is a Community/Retail Pharmacy in Mount Olive, Illinois. It is located at 107 E Main St Ste D, Mount Olive and it's customer support contact number is 217-999-3016. The authorized person of Ageless Rx Systems Llc is Terry Allan, PHARM.D who is Owner of the pharmacy and his contact number is 217-839-2877. Active license number of Ageless Rx Systems Llc is 054003991 for Community/Retail Pharmacy in Illinois. Ageless Rx Systems Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ageless Rx Systems Llc 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:
Ageless Rx Systems 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: | Ageless Rx Systems Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 107 E Main St Ste D, Mount Olive,
Illinois, 62069-1703 |
| Phone: | 217-999-3016 |
| Fax: | 217-999-3020 |
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: | Terry Allan |
| Credentials: | PHARM.D |
| Position: | Owner |
| Contact Number: | 217-839-2877 |
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: | 1871578583 |
| NPI Enumeration Date: | 14 Dec, 2005 |
| NPI Last Update On: | 07 Jun, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ageless Rx Systems Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 054003991 | Illinois | Primary | |
| Pharmacy | | | 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 |
| 2023241 | Other | | Pk |
| 370647772002 | Medicaid | Illinois | |
Medicare Enrollment:
Ageless Rx Systems Llc 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 |
| 2860519717 | O20100930001047 | Sullivan Drugs Inc | DME SUPPLIER - PHARMACY |
| 2860519717 | O20140708002428 | Sullivan Drugs Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 103 N Jersey St Ste 101,
Gillespie, Illinois |
| Zip: | 62033-1403 |
| Phone Number: | 217-839-2877 |
Patients can reach Ageless Rx Systems Llc at
107 E Main St Ste D, Mount Olive, Illinois or can
call on customer care at 217-999-3016.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.