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Organization
BANDYS APOTHECARY SHOPS INC
Active
Organization
BANDYS APOTHECARY SHOPS INC
Active
Other names
Bandy's Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BANDY (PRESIDENT)
(618) 533-3300
Entity
Organization
Contact information
Practice address
817 E MCCORD ST, CENTRALIA, IL 62801
(618) 533-3300
(618) 533-3302
Mailing address
817 E MCCORD ST, CENTRALIA, IL 62801-3044
(618) 533-3300
(618) 533-3302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.019697
IL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156026
PK
—
Enumeration date
05/11/2006
Last updated
06/12/2024
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