IndividualActive
Elaine Grimes
NPI 1336743293 · Pharmacist · Flora, IL
Provider details
- NPI number
- 1336743293
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051034921 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1301 N State Rd
Flora, IL 62839-1093
Phone: (618) 662-4767
Fax: (618) 662-2657
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 714
Olney, IL 62450-0714
Registry dates
- Enumerated
- 2020-11-22
- Last updated
- 2020-11-22
- Certified
- 2020-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.