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Extended Living Pharmacy LLC — NPI 1992899306, Forsyth, IL | NPI Central

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NPI 1992899306

OrganizationActive

Extended Living Pharmacy LLC

NPI 1992899306 · Long Term Care Pharmacy · Forsyth, IL

Provider details

NPI number: 1992899306
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Jeffrey Aubry, Manager(217) 855-8378

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 054016055 (IL)
Suppliers
Pharmacy333600000X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

338 W Marion Ave

Forsyth, IL 62535-1064

Phone: (217) 875-7147

Fax: (217) 875-7081

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

338 W Marion Ave

Forsyth, IL 62535-1064

Other names (DBA / former)

Doing business as: Extended Living Pharmacy LLC
Doing business as: Extended Living Pharmacy LLC

Registry dates

Enumerated: 2006-10-03
Last updated: 2019-03-13

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