NPI 1053322552

Petersons Perscription Pharmacy INC

Organisation Community/Retail Pharmacy Oak Park, IL

Practice location

Address: 715 Lake St, Oak Park, IL 60301-1467
Phone: (708) 848-5020
Fax: (708) 848-5022

Authorised official

Name: William Elich
Title: President
Phone: (708) 868-5020

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 054010011 (IL)

Other Pharmacy providers in Illinois →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1053322552
Entity type: Organization
NPI issued: 10 Aug 2006
Record last updated: 31 Aug 2012

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.