Healthcare Provider Details

I. General information

NPI: 1376547133
Provider Name (Legal Business Name): R & Q CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 S ADAMS ST
MANITO IL
61546-9315
US

IV. Provider business mailing address

406 S ADAMS ST
MANITO IL
61546-9315
US

V. Phone/Fax

Practice location:
  • Phone: 309-968-2800
  • Fax: 309-968-2807
Mailing address:
  • Phone: 309-968-2800
  • Fax: 309-968-2807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number054013848
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD C QUINONES
Title or Position: PHARMACIST IN CHARGE
Credential: R.PH.
Phone: 309-543-2253