NPI 1700628377
Illinois Family Pharmacy LLC
Practice location
- Address
- 117 Clintonian Plz, Breese, IL 62230-1501
- Phone
- (618) 526-8040
- Fax
- (618) 526-8072
Authorised official
- Name
- Samantha Jo Timmermann Dryer
- Title
- Vice President / Owner
- Phone
- (618) 526-8040
Registered specialties (2)
Long Term Care Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1700628377
- Entity type
- Organization
- NPI issued
- 12 Jun 2024
- Record last updated
- 21 Apr 2025
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.