# SCOTTS FAMILY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCOTTS FAMILY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073658589
- **Authorized official:** SCOTT EDGAR RPH (PRESIDENT / PIC)
- **Authorized official phone:** (217) 784-8241

## Contact information

- **Practice address:** 220 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
- **Practice address phone:** (217) 784-8241
- **Practice address fax:** (217) 784-5506
- **Mailing address:** 220 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
- **Mailing address phone:** (217) 784-8241
- **Mailing address fax:** (217) 784-5506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054014725 | IL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 11/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2016848 | PK | — |