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Holistic Pharmacy Service Inc

NPI 1003210402ActiveOrganization· Pharmacy· Springfield, IL

Pharmacy in Springfield, Illinois, registered in NPPES in October 2014. The authorized official on file is Beaux Cole, PHARMD, Pharmacist.

Overview

NPI1003210402
StatusActive
Entity typeOrganization
NPI issuedOct 14, 2014
Last updated in NPPESOct 14, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X054.017739IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Springfield

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