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Douglas & Ogden Medical Center Pharmacy Inc

Community/Retail Pharmacy in Manteno, IL · enumerated 2006 · authorized official Clarke Kueltzo, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760543581

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Registry record

Entity type Organization (Type 2)
Legal business name Douglas & Ogden Medical Center Pharmacy Inc
Other name <Unavail>
Practice address 24 W First St, Manteno, IL, 60950
Fax (630) 852-6545
Enumeration date Dec 13, 2006
Last updated in NPPES Jun 12, 2019

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 054009256 (IL) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Clarke Kueltzo
Title President

Other identifiers

Identifier Type State Issuer
2019413 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-06-12. Verify at npiregistry.cms.hhs.gov.
Where is Douglas & Ogden Medical Center Pharmacy Inc located?
The practice location on file with NPPES is in Manteno, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-12.