SHOPKO PHARMACY 2125
Restricted
SHOPKO PHARMACY 2125 is subject to Restricted. See the individual lists below.
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Address
555 W SOUTH STREET
ID Details
ID NUMBER : 054015898
ID TYPE : License
ID NUMBER : 1760418701
ID TYPE : NPI
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SHOPKO PHARMACY 2125 Sanctioned By Below Authority
List Name | List Authority | Effective Date ▼ | Status |
---|---|---|---|
| The Illinois Department of Healthcare and Family Services | Jun 22, 2021 | active |
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