# MORTON-WUEBBELS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225049729
- **Authorized official:** MICHAEL MORTON (LICENSEE)
- **Authorized official phone:** (618) 533-5411

## Contact information

- **Practice address:** 817 E MCCORD, CENTRALIA, IL 62801
- **Practice address phone:** (618) 533-5411
- **Practice address fax:** (618) 533-4153
- **Mailing address:** 817 E MCCORD, CENTRALIA, IL 62801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054015743 | IL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 03/07/2023