Healthcare Provider Details

I. General information

NPI: 1326110115
Provider Name (Legal Business Name): PHARM SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S 2ND ST
GREENVILLE IL
62246-1744
US

IV. Provider business mailing address

621 S 2ND ST
GREENVILLE IL
62246-1744
US

V. Phone/Fax

Practice location:
  • Phone: 618-664-0058
  • Fax: 618-664-8981
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateIL

VIII. Authorized Official

Name: DENA FERMAN
Title or Position: THIRD PARTY PLAN COORDINATOR
Credential:
Phone: 314-993-6000