# BANDYS APOTHECARY SHOPS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bandy's Pharmacy II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144270265
- **Authorized official:** ERIC BANDY (PRESIDENT)
- **Authorized official phone:** (618) 533-3300

## Contact information

- **Practice address:** 817 E MCCORD ST, CENTRALIA, IL 62801
- **Practice address phone:** (618) 533-3300
- **Practice address fax:** (618) 533-3302
- **Mailing address:** 817 E MCCORD ST, CENTRALIA, IL 62801-3044
- **Mailing address phone:** (618) 533-3300
- **Mailing address fax:** (618) 533-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.019697 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 06/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2156026 | PK | — |