CAMARATO DRUG INC
Managed Care Organization Pharmacy
Goreville, Illinois
Provider NPI: 1245493865
Organization Information:Organization Name: CAMARATO DRUG INC
Practice Location:
901 S BROADWAY GOREVILLE, IL 62939 US
Tel: 618-995-1555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
901 S BROADWAY GOREVILLE, IL 62939 US
Tel: 618-995-1555 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
N | 3336C0004X | Suppliers Pharmacy | ||
N | 3336M0003X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | IL | 054016439 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2023696 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin