Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EXTENDED LIVING PHARMACY LLC
Active OrganizationEXTENDED LIVING PHARMACY LLC is a Retail Pharmacy organization located in FORSYTH, Illinois. NPI 1992899306 is currently active in the NPPES registry. Verify at CMS.
Retail Pharmacy · FORSYTH, IL
Registration Details
- NPI Number
- 1992899306
- Provider Type
- Organization
- NPI Issued
- Oct 3, 2006 (19.873131502546 yrs)
- Last Updated
- Mar 13, 2019
- License
-
054016055 (IL)
Practice Information
- Address
-
338 W MARION AVEFORSYTH, IL, 625351064Browse IL providers · Browse ZIP 62535
- Phone
- 2178757147
- Fax
- 2178757081
- Primary Specialty
-
Retail Pharmacy
3336L0003X
- Additional Specialty
- Long-Term Care Pharmacy
- Additional Specialty
- Retail 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.