Organization Name: | THRIFTY PHARMACY |
NPI Number: | 1548458219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS P. GLOVER (PRESIDENT/OWNER) |
Mailing Address: | 100 W North Ave Flora |
State: | IL US |
Postal Code: | 628391612 |
Phone Number: | 6196629404 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |