Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA FOOD MART
Active OrganizationMARISSA FOOD MART is a Pharmacy organization located in MARISSA, Illinois. NPI 1003980111 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · MARISSA, IL
Registration Details
- NPI Number
- 1003980111
- Provider Type
- Organization
- NPI Issued
- Nov 20, 2006 (19.726041288914 yrs)
- Last Updated
- Apr 15, 2015
- License
-
054.009766 (IL)
Practice Information
- Address
-
700 E. LYONS ST.MARISSA, IL, 62257Browse IL providers · Browse ZIP 62257
- Phone
- 6182952317
- Fax
- 6182952318
- Primary Specialty
-
Pharmacy
333600000X
- Additional Specialty
- Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.