NPI Code Details Logo

NPI 1750455853

NPI 1750455853 : PARIS CLINIC PHARMACY INC : PARIS, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750455853
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PARIS CLINIC PHARMACY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/20/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    719 E COURT ST 
-----------------------------------------------------
    City                 |    PARIS
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    61944-2478
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    217-465-4114
-----------------------------------------------------
    Fax                  |    217-463-5801
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    719 E COURT ST 
-----------------------------------------------------
    City                 |    PARIS
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    61944-2478
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    217-465-4114
-----------------------------------------------------
    Fax                  |    217-463-5801
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MR. STEPHEN E BENEFIEL 
-----------------------------------------------------
    Credential           |    RPH
-----------------------------------------------------
    Telephone            |    217-465-4114
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.