# BANDYS PHARMACY INC

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

## Provider details

- **NPI number:** 1306894787
- **Authorized official:** ERIC SCOTT BANDY (OWNER RPH)
- **Authorized official phone:** (618) 548-4000

## Contact information

- **Practice address:** 1413 W WHITTAKER ST, SALEM, IL 62881-2015
- **Practice address phone:** (618) 548-4000
- **Practice address fax:** (618) 548-3784
- **Mailing address:** 1413 W WHITTAKER ST, P O BOX 546, SALEM, IL 62881-2015
- **Mailing address phone:** (618) 548-4000
- **Mailing address fax:** (618) 548-3784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 054008418 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 09/30/2024