1417923012 MT VERNON COMMUNITY PHARMACY INC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
MT VERNON COMMUNITY PHARMACY INC
Enumeration Date
February 24, 2006
Last Update
November 1, 2011
Authorized Official
ERIC BLACK
OWNER
Phone: (618) 242-8776

Practice Location

Address
2339 BROADWAY ST
MOUNT VERNON, IL 628642925
Phone
(618) 242-8776

Mailing Address

Address
2339 BROADWAY ST
MOUNT VERNON, IL 628642925
Phone
(618) 242-8776

Specialties & Taxonomies

Specialty Code Classification License State Primary
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 054016737 IL Primary

Other Identifiers

Identifier Type State Issuer
334555 01 N/A HEALTHLINK
4132021 01 N/A BLUE CROSS BLUE SHIELD
1447792 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER

Frequently Asked Questions

What is MT VERNON COMMUNITY PHARMACY INC's NPI number?
MT VERNON COMMUNITY PHARMACY INC's NPI number is 1417923012.
Which doctor has NPI number 1417923012?
The doctor with NPI number 1417923012 is MT VERNON COMMUNITY PHARMACY INC.
What is MT VERNON COMMUNITY PHARMACY INC's practice address?
MT VERNON COMMUNITY PHARMACY INC's practice address is 2339 BROADWAY ST, MOUNT VERNON, IL, 628642925.
Which doctor practices at 2339 BROADWAY ST, MOUNT VERNON, IL, 628642925?
MT VERNON COMMUNITY PHARMACY INC practices at 2339 BROADWAY ST, MOUNT VERNON, IL, 628642925.
What is MT VERNON COMMUNITY PHARMACY INC's phone number?
MT VERNON COMMUNITY PHARMACY INC's phone number is (618) 242-8776.
Who is (618) 242-8776?
(618) 242-8776 is the phone number for MT VERNON COMMUNITY PHARMACY INC.
What is MT VERNON COMMUNITY PHARMACY INC's specialty?
MT VERNON COMMUNITY PHARMACY INC's specialty is Community/Retail Pharmacy.
What type of doctor is MT VERNON COMMUNITY PHARMACY INC?
MT VERNON COMMUNITY PHARMACY INC is a Community/Retail Pharmacy.
Is MT VERNON COMMUNITY PHARMACY INC a Community/Retail Pharmacy?
Yes, MT VERNON COMMUNITY PHARMACY INC is a Community/Retail Pharmacy.
Is MT VERNON COMMUNITY PHARMACY INC still practicing?
Yes, MT VERNON COMMUNITY PHARMACY INC is currently practicing.
Is MT VERNON COMMUNITY PHARMACY INC accepting new patients?
MT VERNON COMMUNITY PHARMACY INC may be accepting new patients. Please call their office at (618) 242-8776 to inquire about availability.
Is NPI 1417923012 still active?
Yes, NPI 1417923012 is currently active.
Where does MT VERNON COMMUNITY PHARMACY INC practice?
MT VERNON COMMUNITY PHARMACY INC practices in MOUNT VERNON, IL.