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Organization
HERRIN DRUG INC
Active
Organization
HERRIN DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MATTINGLY (PRESIDENT)
(618) 942-5315
Entity
Organization
Contact information
Practice address
116 N PARK AVE, HERRIN, IL 62948-3148
(618) 942-5315
(618) 942-4584
Mailing address
116 N PARK AVE, HERRIN, IL 62948-3148
(618) 942-5315
(618) 942-4584
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
01/03/2020
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