Provider Demographics
NPI:1275535056
Name:RAINVILLE, EDWARD C (PHARMMS)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:C
Last Name:RAINVILLE
Suffix:
Gender:M
Credentials:PHARMMS
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Mailing Address - Street 1:OSF SAINT FRANCIS MEDICAL CENTER- PHARMACY DEPT
Mailing Address - Street 2:530 NE GLEN OAK AVE
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61637-0001
Mailing Address - Country:US
Mailing Address - Phone:309-655-7331
Mailing Address - Fax:309-655-4036
Practice Address - Street 1:OSF SAINT FRANCIS MEDICAL CENTER- PHARMACY DEPT
Practice Address - Street 2:530 NE GLEN OAK AVE
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-0001
Practice Address - Country:US
Practice Address - Phone:309-655-7331
Practice Address - Fax:309-655-4036
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist