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NPI Code Detail

MEDICARE: LENA DRUG STORE, INC.

MEDICARE: LENA DRUG STORE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1487137832
Entity Type Code : Organization
Provider Name (Legal Business Name) : LENA DRUG STORE, INC.
Provider Business Mailing Address
First Line : PO BOX 454
Second Line :
City : LENA
State : IL
Zip : 61048-0454
Country : US
Telephone Number : 815-369-4111
Fax Number : 815-369-2602
Provider Business Practice Location Address
First Line : 154 W MAIN ST
Second Line :
City : LENA
State : IL
Zip : 61048-9247
Country : US
Telephone Number : 815-369-4111
Fax Number : 815-369-2602
Authorized Official
Title or Position : OWNER
Name : KARRIE SABINSON
Credential :
Telephone Number : 815-745-3700
Provider Enumeration Date : 09/12/2018
Last Update Date : 12/06/2018

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Directions to “LENA DRUG STORE, INC. ” Practice Location

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