The Bleeding And Clotting Disorders Institute
Pharmacy
427 W Northmoor Rd, Peoria
Illinois, 61614-3542
309-692-5337 309-693-3913
The Bleeding And Clotting Disorders Institute is a Pharmacy in Peoria, Illinois. It is located at 427 W Northmoor Rd, Peoria and it's customer support contact number is 309-692-5337. The authorized person of The Bleeding And Clotting Disorders Institute is Michael Tarantino, M.D. who is Medical Director of the pharmacy and his contact number is 309-692-5337. Active license number of The Bleeding And Clotting Disorders Institute is 054-017718 for Pharmacy in Illinois.
The Bleeding And Clotting Disorders Institute is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
The Bleeding And Clotting Disorders Institute 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: | The Bleeding And Clotting Disorders Institute |
| Type: | Pharmacy |
| Location: | 427 W Northmoor Rd, Peoria,
Illinois, 61614-3542 |
| Phone: | 309-692-5337 |
| Fax: | 309-693-3913 |
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: | Michael Tarantino |
| Credentials: | M.D. |
| Position: | Medical Director |
| Contact Number: | 309-692-5337 |
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: | 1962783431 |
| NPI Enumeration Date: | 29 Aug, 2011 |
| NPI Last Update On: | 30 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Bleeding And Clotting Disorders Institute are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 054-017718 | 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 |
| 398680716 | Medicaid | Illinois | |
| 7225372 | Other | | Bcbs Of Il |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 427 W Northmoor Rd,
Peoria, Illinois |
| Zip: | 61614-3542 |
| Phone Number: | 309-692-5337 |
| Fax Number: | 309-693-3913 |
Patients can reach The Bleeding And Clotting Disorders Institute at
427 W Northmoor Rd, Peoria, Illinois or can
call on customer care at 309-692-5337.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.