Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EXTENDED PHARMACY LLC
Active OrganizationEXTENDED PHARMACY LLC is a Retail Pharmacy organization located in PEORIA, Illinois. NPI 1700014446 is currently active in the NPPES registry. Verify at CMS.
Retail Pharmacy · PEORIA, IL
Registration Details
- NPI Number
- 1700014446
- Provider Type
- Organization
- NPI Issued
- Jul 1, 2009 (17.131915080277 yrs)
- Last Updated
- Mar 14, 2023
- Licenses
-
64002202A (IN)2015044792 (MO)054016704 (IL)
Practice Information
- Address
-
121 STATE ST STE 1APEORIA, IL, 616021547Browse IL providers · Browse ZIP 61602
- Phone
- 3096764831
- Fax
- 3096767014
- Primary Specialty
-
Retail Pharmacy
3336L0003X
- Additional Specialty
- Retail Pharmacy
- Additional Specialty
- Retail Pharmacy
Other Retail Pharmacy Organizations in PEORIA, IL
| Name | NPI |
|---|---|
| GENOA HEALTHCARE LLC | 1013250661 |
| CRITICAL CARE RX, LLC | 1720574676 |
| GENOA HEALTHCARE LLC | 1285362202 |
| AMERICAN PHARMACY OF IL INC | 1962239186 |
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.