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Illini Clinic Pharmacy Inc — NPI 1053838458, Alpha, IL | NPI Central

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NPI 1053838458

OrganizationActive

Illini Clinic Pharmacy Inc

NPI 1053838458 · Community/Retail Pharmacy · Alpha, IL

Provider details

NPI number: 1053838458
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Donna Merideth, Owner/Pic(309) 629-4506

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense 054020443 (IL)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

211 S. 1st St

Alpha, IL 61413-0355

Phone: (309) 629-4506

Fax: (309) 629-2611

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 355

Alpha, IL 61413-0355

Other names (DBA / former)

Doing business as: Alwood Pharmacy

Registry dates

Enumerated: 2017-08-25
Last updated: 2020-07-01
Certified: 2020-07-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.