COMPREHENSIVE BLEEDING DISORDERS CENTER
NPI 1457347502
Pharmacy in Peoria, IL

Q: What is Comprehensive Bleeding Disorders Center's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since September 23, 2005

4727 N SHERIDAN RD, PEORIA, IL 61614(309) 688-1345(309) 688-0917 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Comprehensive Bleeding Disorders Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPREHENSIVE BLEEDING DISORDERS CENTER (NPI 1457347502) is a healthcare organization registered as a pharmacy in Peoria, Illinois and active in the NPI registry since September 2005. The organization lists Mary L Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457347502

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCOMPREHENSIVE BLEEDING DISORDERS CENTER

Location Address4727 N SHERIDAN RDPeoria, IL 61614-5925

Mailing Address4727 N Sheridan RdPeoria, IL 61614-5925 · (309) 688-1345 · Fax (309) 688-0917

Phone(309) 688-1345

Fax(309) 688-0917

Organization SubpartNo

Authorized OfficialMary L DavisExecutive Director · (309) 688-1345

Enumeration DateSeptember 23, 2005

Last NPPES UpdateAugust 8, 2008

✔ NPI 1457347502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 054014575

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

4727 N SHERIDAN RD, Peoria, IL 61614

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Other Identifiers 4

Other21623343IL · Bcbs Of Il

Medicare ID-Type Unspecified216870

Medicaid=========002IL

Medicare ID-Type UnspecifiedP0008715Railroad

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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