Whalio Doctors

NPI 1013037795

Memorial Home Services of Central Illinois, INC

Organisation Home Infusion Therapy Pharmacy Overland, MO

Practice location

Address
1935 Belt Way Dr, Overland, MO 63114-5825
Phone
(314) 205-8600
Mailing address
644 N 2nd St, Springfield, IL 62702-5222

Authorised official

Name
Lori a Valentine
Title
Director Durable Medical Equipment
Phone
(217) 788-4663

Registered specialties (6)

Home Infusion Therapy Pharmacy Primary
Suppliers Taxonomy 3336H0001X Licence 054-014828 (IL)
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X Licence 054-014084 (IL)
Home Infusion Therapy Pharmacy
Suppliers Taxonomy 3336H0001X Licence 004857 (MO)
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X Licence 054-014828 (IL)
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X Licence 054-014084 (IL)
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X Licence 004857 (MO)

Registry record

NPI
1013037795
Entity type
Organization
NPI issued
29 Mar 2007
Record last updated
1 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.