Provider Demographics
NPI:1457008195
Name:FELKER PHARMACY INC
Entity Type:Organization
Organization Name:FELKER PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FELKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-262-4808
Mailing Address - Street 1:102 E HITT ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:61054-1220
Mailing Address - Country:US
Mailing Address - Phone:815-734-3115
Mailing Address - Fax:779-545-0069
Practice Address - Street 1:102 E HITT ST
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:IL
Practice Address - Zip Code:61054-1220
Practice Address - Country:US
Practice Address - Phone:815-734-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy