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Organization
M AND D PHARMACY, LLC.
Active
Organization
M AND D PHARMACY, LLC.
Active
Other names
Moreland & Devitt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN STOLL (CHEIF OPERATIONS OFFICER)
(217) 322-3333
Entity
Organization
Contact information
Practice address
201 S STATE ST, BEARDSTOWN, IL 62618-1219
(217) 909-4330
Mailing address
201 S STATE ST, BEARDSTOWN, IL 62618-1219
(217) 909-4330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054019522
IL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152927
PK
—
Enumeration date
08/27/2015
Last updated
05/25/2023
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