# HARMON'S DRUG STORE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295885218
- **Authorized official:** BRAD HARMON (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (618) 592-4231

## Contact information

- **Practice address:** 111 E MAIN ST, OBLONG, IL 62449-0159
- **Practice address phone:** (618) 592-4231
- **Practice address fax:** (618) 592-4410
- **Mailing address:** PO BOX 159, OBLONG, IL 62449-0159
- **Mailing address phone:** (618) 592-4231
- **Mailing address fax:** (618) 592-4410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 051033226 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 06/26/2020