DOLAN CENTRAL ILLINOIS COMPOUNDING LLC
Organization (NPI-2)
Active
Pharmacy, Compounding Pharmacy
Provider Information
- NPI Number
1093883290- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5832 N KNOXVILLE AVE STE E, PEORIA, IL, 616144304
- Phone
- (309) 679-2047
- Fax
- (309) 679-2051
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
License: WI #2099-43
Pharmacy, Compounding Pharmacy
Primary License: IA #4394
Pharmacy
License: IL #054.020600