# PRN PHARMACIES LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAP PHARMACY, Medicine Shoppe \#2171
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033246483
- **Authorized official:** BRAD LEDBETTER (VICE PRESIDENT)
- **Authorized official phone:** (618) 252-5349

## Contact information

- **Practice address:** 1101 US HIGHWAY 45 N, ELDORADO, IL 62930-3768
- **Practice address phone:** (618) 273-4941
- **Practice address fax:** (618) 273-8124
- **Mailing address:** 1101 US HIGHWAY 45 N, PO BOX 449, ELDORADO, IL 62930-3768
- **Mailing address phone:** (618) 273-4941
- **Mailing address fax:** (618) 273-8124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 54006692 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 12/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1440217 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 371061340001 | — | IL |
| 01 | — | 3710613406293001 | HFS PAYEE \# | IL |