WILSON MEDICAID PHARMACY
Restricted
WILSON MEDICAID PHARMACY is subject to Restricted. See the individual lists below.
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Address
1044 WILSON
ID Details
ID NUMBER : 053006914
ID TYPE : License
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WILSON MEDICAID PHARMACY Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Illinois Department of Healthcare and Family Services | May 15, 1985 | active |
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