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THROGMORTON POWLESS PHARMACY

Medical Equipment Supplier Yellow Pages

Flora, Illinois

Provider NPI: 1629149893

Organization Information:
Organization Name:  THROGMORTON POWLESS PHARMACY


Practice Location:
123 E NORTH AVE  FLORA, IL 62839 US
Tel: 618-662-2174  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
IL
X3336C0003XSuppliers
Pharmacy
IL
X3336C0004XSuppliers
Pharmacy
IL

Other Provider Identifiers:

IssuerNumberStateType
NABP1422548IL01
370627101001IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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