Comprehensive Bleeding Disorders Center

Pharmacy · Peoria, IL

Organization Active NPI

NPI number 1457347502

Practice location

4727 N Sheridan Rd
Peoria, IL 61614-5925
Phone
(309) 688-1345
Fax
(309) 688-0917

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NPI record

NPI
1457347502
Entity type
Organization (Type 2)
Enumeration date
September 23, 2005
Last updated
August 8, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 054014575 IL

Authorized official

Name
Mrs. Mary L Davis
Title
Executive Director
Phone
(309) 688-1345

About Comprehensive Bleeding Disorders Center

Comprehensive Bleeding Disorders Center is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 4727 N Sheridan Rd, Peoria, IL 61614-5925. The NPI number 1457347502 was assigned on September 23, 2005 and the record was last updated on August 8, 2008.

Comprehensive Bleeding Disorders Center lists a license in the registry: #054014575 (IL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Mary L Davis, Executive Director.

Frequently asked questions

What is the NPI number of Comprehensive Bleeding Disorders Center?

The NPI number is 1457347502.

What is the phone number of Comprehensive Bleeding Disorders Center?

The phone number listed for the practice location is (309) 688-1345.

Where is Comprehensive Bleeding Disorders Center located?

4727 N Sheridan Rd, Peoria, IL 61614-5925.

What is the taxonomy code for Comprehensive Bleeding Disorders Center?

The primary taxonomy code is 333600000X – Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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